AMANDA MATHIAS RAJENDRAN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054391

License Status

EXPIRED

Business

Title

First Name

AMANDA

Middle

MATHIAS

Last Name

RAJENDRAN

Business Name

AMANDA MATHIAS RAJENDRAN DO

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011