THAMILVANI THIRUVASAHAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

THAMILVANI

Last Name

THIRUVASAHAR

Business Name

THAMILVANI THIRUVASAHAR MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014