ANTONY R THARIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

ANTONY

Middle

Last Name

THARIAN

Suffix

Business Name

ANTONY R THARIAN MD

Original Issue Date

06/20/2002

Effective Date

06/20/2002

Expiration Date

07/31/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020