PERIAPATNA S ANANTH - Medical Doctor License in Illinois | # 125023239

PERIAPATNA S ANANTH

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023239

License Status

EXPIRED

Business

N

First Name

PERIAPATNA

Middle

S

Last Name

ANANTH

Business Name

PERIAPATNA S ANANTH

Original Issue Date

03/24/1989

Effective Date

03/24/1989

Expiration Date

04/01/1992

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006