SASIDHARAN TARAVATH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020840

License Status

EXPIRED

Business

First Name

SASIDHARAN

Last Name

TARAVATH

Suffix

Business Name

SASIDHARAN TARAVATH MD

Original Issue Date

05/14/1987

Effective Date

05/14/1987

Expiration Date

07/01/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006