TONY THARIAN ISSAC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

TONY

Middle

THARIAN

Last Name

ISSAC

Suffix

Business Name

TONY THARIAN ISSAC MD

Original Issue Date

05/21/2009

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

OAK PARK

State

Zip

60304

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014