SAMBASIVA R SUKHAVASI DR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021380

License Status

EXPIRED

Business

First Name

SAMBASIVA R

Last Name

SUKHAVASI DR

Business Name

SAMBASIVA R SUKHAVASI DR

Original Issue Date

06/18/1987

Effective Date

06/18/1987

Expiration Date

06/22/1990

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006