ANIL K SRIVASTAVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030224

License Status

EXPIRED

Business

First Name

ANIL K

Last Name

SRIVASTAVA

Business Name

ANIL K SRIVASTAVA

Original Issue Date

06/10/1993

Effective Date

06/10/1993

Expiration Date

06/27/1995

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006