SARAVANAN BALAMUTHUSAMY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046443

License Status

EXPIRED

Business

First Name

SARAVANAN

Last Name

BALAMUTHUSAMY

Suffix

Business Name

SARAVANAN BALAMUTHUSAMY MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006