BASAVARAJ SIDDALINGAPPA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023190

License Status

EXPIRED

Business

First Name

BASAVARAJ

Last Name

SIDDALINGAPPA

Suffix

Business Name

BASAVARAJ SIDDALINGAPPA MD

Original Issue Date

11/04/1988

Effective Date

11/04/1988

Expiration Date

11/01/1991

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006