RAVINDRAKUMAR GANGADHARIAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041425

License Status

EXPIRED

Business

First Name

RAVINDRAKUMAR

Last Name

GANGADHARIAH

Suffix

Business Name

RAVINDRAKUMAR GANGADHARIAH MD

Original Issue Date

06/27/2000

Effective Date

06/27/2000

Expiration Date

06/26/2001

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006