SUSHMA MEDA RAGHAVENDRA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046744

License Status

EXPIRED

Business

First Name

SUSHMA

Middle

MEDA

Last Name

RAGHAVENDRA

Business Name

SUSHMA MEDA RAGHAVENDRA

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006