LEELA C THACHENKARY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047115

License Status

INACTIVE

Business

First Name

LEELA C

Last Name

THACHENKARY

Suffix

Business Name

LEELA C THACHENKARY MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/31/1987

City

KENOSHA

State

Zip

53141

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006