MASOOR KAMALESH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

CANCELLED

Business

First Name

MASOOR

Last Name

KAMALESH

Suffix

Business Name

MASOOR KAMALESH MD

Original Issue Date

04/07/2000

Effective Date

04/07/2000

Expiration Date

07/31/2002

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020