SARAVANAN BALAMUTHUSAMY MD - Medical Doctor License in Illinois | # 125046443

SARAVANAN BALAMUTHUSAMY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046443

License Status

EXPIRED

Business

N

First Name

SARAVANAN

Last Name

BALAMUTHUSAMY

Suffix

MD

Business Name

SARAVANAN BALAMUTHUSAMY MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006