SAVITHA MANICKAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050197

License Status

EXPIRED

Business

First Name

SAVITHA

Last Name

MANICKAM

Suffix

Business Name

SAVITHA MANICKAM MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008