HIMABINDU KASIVAJJULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132462

License Status

NOT RENEWED

Business

Title

First Name

HIMABINDU

Last Name

KASIVAJJULA

Business Name

HIMABINDU KASIVAJJULA MD

Original Issue Date

04/16/2013

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017