GEETHA SIVAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021603

License Status

EXPIRED

Business

First Name

GEETHA

Last Name

SIVAM

Business Name

GEETHA SIVAM

Original Issue Date

07/16/1987

Effective Date

07/16/1987

Expiration Date

07/07/1990

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006