PUSHPA KRISHNASAMI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041343

License Status

EXPIRED

Business

First Name

PUSHPA

Last Name

KRISHNASAMI

Suffix

Business Name

PUSHPA KRISHNASAMI MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006