SHIVASUNDARA S KRISHNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020289

License Status

EXPIRED

Business

First Name

SHIVASUNDARA S

Last Name

KRISHNA

Suffix

Business Name

SHIVASUNDARA S KRISHNA MD

Original Issue Date

09/04/1986

Effective Date

09/04/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006