TIMOTHY M NYARANDI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

NYARANDI

Business Name

TIMOTHY M NYARANDI

Original Issue Date

11/09/2006

Effective Date

11/09/2006

Expiration Date

07/31/2008

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008