VIGNESH THAMILARASU PACKIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

VIGNESH

Middle

THAMILARASU

Last Name

PACKIAM

Business Name

VIGNESH THAMILARASU PACKIAM MD

Original Issue Date

01/30/2015

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021