VIGNESH THAMILARASU PACKIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137172

License Status

NOT RENEWED

Business

Title

First Name

VIGNESH

Middle

THAMILARASU

Last Name

PACKIAM

Business Name

VIGNESH THAMILARASU PACKIAM MD

Original Issue Date

01/27/2015

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

ROCHESTER

State

Zip

55904

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/14/2021