KANTEERAVA BALASARASWATHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051091

License Status

NOT RENEWED

Business

First Name

KANTEERAVA

Last Name

BALASARASWATHI

Suffix

Business Name

KANTEERAVA BALASARASWATHI MD

Original Issue Date

06/24/1975

Effective Date

06/24/1975

Expiration Date

07/31/1987

City

OAKBROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006