P S SRIRAM Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035963

License Status

CANCELLED

Business

First Name

Middle

Last Name

SRIRAM

Business Name

P S SRIRAM

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

06/23/2000

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006