SRINIVAS R RAVANAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036956

License Status

EXPIRED

Business

First Name

SRINIVAS

Middle

Last Name

RAVANAM

Suffix

Business Name

SRINIVAS R RAVANAM MD

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006