PREETHI CHAKRAVARTHY SRIDHAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054571

License Status

CANCELLED

Business

First Name

PREETHI

Middle

CHAKRAVARTHY

Last Name

SRIDHAR

Suffix

Business Name

PREETHI CHAKRAVARTHY SRIDHAR MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/01/2008