ANOTHAI TAVEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

ANOTHAI

Last Name

TAVEE

Suffix

Business Name

ANOTHAI TAVEE MD

Original Issue Date

01/01/1997

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

DU QUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011