MINI RAJAN ABRAHAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

MINI

Middle

RAJAN

Last Name

ABRAHAM

Suffix

Business Name

MINI RAJAN ABRAHAM MD

Original Issue Date

04/06/1998

Effective Date

04/06/1998

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/09/2006