REVATHI SWAMINATHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062991

License Status

NOT RENEWED

Business

First Name

REVATHI

Last Name

SWAMINATHAN

Suffix

Business Name

REVATHI SWAMINATHAN MD

Original Issue Date

08/24/1981

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

01/14/2021