RAVI MUKUND IYENGAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060957

License Status

CANCELLED

Business

Title

First Name

RAVI

Middle

MUKUND

Last Name

IYENGAR

Business Name

RAVI MUKUND IYENGAR MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60616

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014