LUQMAN A THAZHATHUVEETIL KUNHAHAMED MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

Title

First Name

LUQMAN

Middle

Last Name

THAZHATHUVEETIL KUNHAHAMED

Business Name

LUQMAN A THAZHATHUVEETIL KUNHAHAMED MD

Original Issue Date

08/05/2010

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014