AANDREI JIVENDRA JHA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055579

License Status

EXPIRED

Business

First Name

AANDREI

Middle

JIVENDRA

Last Name

JHA

Business Name

AANDREI JIVENDRA JHA

Original Issue Date

10/10/2008

Effective Date

10/10/2008

Expiration Date

10/09/2010

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/17/2010