SHOBHA MAHADEVAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033400

License Status

EXPIRED

Business

First Name

SHOBHA

Last Name

MAHADEVAN

Business Name

SHOBHA MAHADEVAN

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

06/24/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006