VIDYA SHIVAKUMAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059296

License Status

CANCELLED

Business

Title

First Name

VIDYA

Last Name

SHIVAKUMAR

Business Name

VIDYA SHIVAKUMAR MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

06/03/2014