JAYAKRISHNA DHARMAVARAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020266

License Status

EXPIRED

Business

First Name

JAYAKRISHNA

Last Name

DHARMAVARAM

Business Name

JAYAKRISHNA DHARMAVARAM

Original Issue Date

08/27/1986

Effective Date

08/27/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006

Case Number

1987002251

Action

Revocation

Discipline Start Date

01/27/1989