PADMA S CHIMATA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110262

License Status

NOT RENEWED

Business

First Name

PADMA

Middle

Last Name

CHIMATA

Business Name

PADMA S CHIMATA

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006