MINI SIVADASAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126598

License Status

ACTIVE

Business

Title

First Name

MINI

Last Name

SIVADASAN

Business Name

MINI SIVADASAN MD

Original Issue Date

08/31/2010

Effective Date

08/04/2023

Expiration Date

07/31/2026

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2023