SHANMUGHAM VADIVELU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033900

License Status

EXPIRED

Business

First Name

SHANMUGHAM

Last Name

VADIVELU

Business Name

SHANMUGHAM VADIVELU

Original Issue Date

08/18/1995

Effective Date

08/18/1995

Expiration Date

08/16/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006