CHARULATA VENKATESAN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044804

License Status

CANCELLED

Business

First Name

CHARULATA

Last Name

VENKATESAN

Business Name

CHARULATA VENKATESAN

Original Issue Date

06/17/2002

Effective Date

06/17/2002

Expiration Date

06/16/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006