RACHEL DEEPA YOHANNAN-ITTIARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056590

License Status

CANCELLED

Business

Title

First Name

RACHEL

Middle

DEEPA

Last Name

YOHANNAN-ITTIARA

Business Name

RACHEL DEEPA YOHANNAN-ITTIARA MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/19/2012