CHANCHAMMA A THANNIKKARY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057320

License Status

INACTIVE

Business

First Name

CHANCHAMMA A

Last Name

THANNIKKARY

Suffix

Business Name

CHANCHAMMA A THANNIKKARY MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1993

City

ROANOKE RAPIDS

State

Zip

27870

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

09/20/2006