SIVAPRAGASAM SIVANESAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024270

License Status

EXPIRED

Business

First Name

SIVAPRAGASAM

Last Name

SIVANESAN

Business Name

SIVAPRAGASAM SIVANESAN

Original Issue Date

06/28/1989

Effective Date

06/28/1989

Expiration Date

06/30/1992

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006