TALENTSHIA VETHANAYAGAMONY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

TALENTSHIA

Last Name

VETHANAYAGAMONY

Business Name

TALENTSHIA VETHANAYAGAMONY MD

Original Issue Date

03/02/2016

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023