GEETANJALI SRIVASTAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037722

License Status

EXPIRED

Business

First Name

GEETANJALI

Last Name

SRIVASTAVA

Suffix

Business Name

GEETANJALI SRIVASTAVA MD

Original Issue Date

05/13/1998

Effective Date

05/13/1998

Expiration Date

06/23/2001

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006