PERIAPATNA S ANANTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023239

License Status

EXPIRED

Business

First Name

PERIAPATNA

Middle

Last Name

ANANTH

Business Name

PERIAPATNA S ANANTH

Original Issue Date

03/24/1989

Effective Date

03/24/1989

Expiration Date

04/01/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006