CHITRA MUTHUSAMY IYER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048542

License Status

CANCELLED

Business

First Name

CHITRA

Middle

MUTHUSAMY

Last Name

IYER

Suffix

Business Name

CHITRA MUTHUSAMY IYER MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006