IRENE M THOMAS-THEVATHERIL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

IRENE

Middle

Last Name

THOMAS-THEVATHERIL

Business Name

IRENE M THOMAS-THEVATHERIL

Original Issue Date

02/14/2002

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60522

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023