NISHANT SRINIVASAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055748

License Status

CANCELLED

Business

Title

First Name

NISHANT

Last Name

SRINIVASAN

Business Name

NISHANT SRINIVASAN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/27/2009