LAVANYA CHIDAMBARANATHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026040

License Status

EXPIRED

Business

First Name

LAVANYA

Last Name

CHIDAMBARANATHAN

Business Name

LAVANYA CHIDAMBARANATHAN

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

09/19/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

02/09/2018