KAVITA MENON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054374

License Status

CANCELLED

Business

Title

First Name

KAVITA

Last Name

MENON

Business Name

KAVITA MENON MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine/Dermatology

Ever Disciplined

LastModifiedDate

02/23/2011