NAVIN ANAND MALLAVARAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045138

License Status

EXPIRED

Business

First Name

NAVIN

Middle

ANAND

Last Name

MALLAVARAM

Suffix

Business Name

NAVIN ANAND MALLAVARAM MD

Original Issue Date

06/19/2002

Effective Date

06/19/2002

Expiration Date

06/16/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006