SREENIVASA R DHARMAVARAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032336

License Status

EXPIRED

Business

First Name

SREENIVASA R

Last Name

DHARMAVARAM

Business Name

SREENIVASA R DHARMAVARAM

Original Issue Date

08/23/1994

Effective Date

08/23/1994

Expiration Date

08/22/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006