ANUPAMA SIVAKUMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045124

License Status

EXPIRED

Business

Title

First Name

ANUPAMA

Last Name

SIVAKUMAR

Business Name

ANUPAMA SIVAKUMAR MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006