SIVA SANKAR KETHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045478

License Status

EXPIRED

Business

First Name

SIVA

Middle

SANKAR

Last Name

KETHA

Suffix

Business Name

SIVA SANKAR KETHA MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006