CHARULATA VENKATESAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112442

License Status

NOT RENEWED

Business

First Name

CHARULATA

Last Name

VENKATESAN

Business Name

CHARULATA VENKATESAN

Original Issue Date

09/28/2004

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014