SRINIVAS MANTHA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029149

License Status

EXPIRED

Business

First Name

SRINIVAS

Last Name

MANTHA

Business Name

SRINIVAS MANTHA

Original Issue Date

09/18/1992

Effective Date

09/18/1992

Expiration Date

09/20/1993

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006