TARUN WATSON DASARI 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

First Name

TARUN

Middle

WATSON

Last Name

DASARI

Suffix

Business Name

TARUN WATSON DASARI MD

Original Issue Date

06/19/2008

Effective Date

06/19/2008

Expiration Date

07/31/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

11/10/2011