SIVASUBRAMANIUM VENKATRAMAN BHAVANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139806

License Status

NOT RENEWED

Business

Title

First Name

SIVASUBRAMANIUM

Middle

VENKATRAMAN

Last Name

BHAVANI

Business Name

SIVASUBRAMANIUM VENKATRAMAN BHAVANI MD

Original Issue Date

02/19/2016

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021