RAJEEV SAI POLASANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043189

License Status

CANCELLED

Business

Title

First Name

RAJEEV

Middle

SAI

Last Name

POLASANI

Business Name

RAJEEV SAI POLASANI MD

Original Issue Date

06/12/2001

Effective Date

06/12/2001

Expiration Date

06/11/2002

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006