PADMA S CHIMATA - Medical Doctor License in Illinois | # 125045283

PADMA S CHIMATA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045283

License Status

EXPIRED

Business

N

First Name

PADMA

Middle

S

Last Name

CHIMATA

Business Name

PADMA S CHIMATA

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/22/2004

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006