MEDA SHASHIKUMAR RAGHAVENDRA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030431

License Status

EXPIRED

Business

First Name

MEDA SHASHIKUMAR

Last Name

RAGHAVENDRA

Suffix

Business Name

MEDA SHASHIKUMAR RAGHAVENDRA MD

Original Issue Date

06/23/1993

Effective Date

06/23/1993

Expiration Date

06/21/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006