DEVASENA GNANASHANMUGAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041965

License Status

EXPIRED

Business

First Name

DEVASENA

Last Name

GNANASHANMUGAM

Business Name

DEVASENA GNANASHANMUGAM

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006