PAVAN KUMAR SRIVASTAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053149

License Status

EXPIRED

Business

Title

First Name

PAVAN

Middle

KUMAR

Last Name

SRIVASTAVA

Business Name

PAVAN KUMAR SRIVASTAVA MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010