CHIDAMBARAM SRINIVASAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052886

License Status

NOT RENEWED

Business

First Name

CHIDAMBARAM

Last Name

SRINIVASAN

Suffix

Business Name

CHIDAMBARAM SRINIVASAN MD

Original Issue Date

06/10/1976

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021