DINESH KUMAR KANAGASABAPATHY KANNABHIRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

Title

First Name

DINESH KUMAR

Last Name

KANAGASABAPATHY KANNABHIRAN

Business Name

DINESH KUMAR KANAGASABAPATHY KANNABHIRAN MD

Original Issue Date

06/12/2014

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021