PADMA S CHIMATA - Medical Doctor License in Illinois | # 036110262

PADMA S CHIMATA

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110262

License Status

NOT RENEWED

Business

N

First Name

PADMA

Middle

S

Last Name

CHIMATA

Business Name

PADMA S CHIMATA

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006