PAVANA RADHAKRISHNA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049557

License Status

EXPIRED

Business

First Name

PAVANA

Last Name

RADHAKRISHNA

Suffix

Business Name

PAVANA RADHAKRISHNA MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2008

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008