THAMOTHARAMPILLA SIVARAJ
License Number: ME137260
Data As Of 7/4/2024
| Profession | Medical Doctor |
|---|---|
| License | ME137260 |
| License Status | OBLIGATIONS/Active |
| Qualifications | Dispensing Practitioner |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 07/16/2018 |
| Address of Record | 8912 NW,161 Baptist Hospital |
| Homestead Hospital | |
| 8912 NW,161 Terr | |
| MIAMI LAKES, FL 33018 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | Yes |
| Public Complaint | Yes |
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