KALUGOTLA N SHIVARAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028808

License Status

EXPIRED

Business

First Name

KALUGOTLA N

Last Name

SHIVARAM

Business Name

KALUGOTLA N SHIVARAM

Original Issue Date

06/22/1992

Effective Date

06/22/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006