KANCHANA R VISWANATHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022905

License Status

EXPIRED

Business

First Name

KANCHANA R

Last Name

VISWANATHAN

Suffix

Business Name

KANCHANA R VISWANATHAN MD

Original Issue Date

06/27/1988

Effective Date

06/27/1988

Expiration Date

07/01/1991

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006