KAVITHA MUTHUSAMY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145446

License Status

INACTIVE

Business

Title

First Name

KAVITHA

Last Name

MUTHUSAMY

Business Name

KAVITHA MUTHUSAMY MD

Original Issue Date

03/23/2018

Effective Date

03/23/2018

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020