MANI MADHAV BATCHU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053345

License Status

CANCELLED

Business

Title

First Name

MANI

Middle

MADHAV

Last Name

BATCHU

Business Name

MANI MADHAV BATCHU DO

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

Psychiatry

Ever Disciplined

LastModifiedDate

10/11/2012

Case Number

2012008383

Action

Revocation

Discipline Start Date

10/05/2012

Discipline Reason

as he is required, as a part of a criminal sentence, to register under the Sex Offender Registration Act.