GURUSARAVANAN KUTTI SRIDHARAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059646

License Status

EXPIRED

Business

First Name

GURUSARAVANAN

Last Name

KUTTI SRIDHARAN

Business Name

GURUSARAVANAN KUTTI SRIDHARAN

Original Issue Date

08/15/2011

Effective Date

08/15/2011

Expiration Date

08/14/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015