PALANIAPPAN SUPPIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

PALANIAPPAN

Last Name

SUPPIAH

Suffix

Business Name

PALANIAPPAN SUPPIAH MD

Original Issue Date

07/02/1981

Effective Date

05/03/2017

Expiration Date

09/30/2020

City

SALEM

State

Zip

62881

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021