KAVITHA SELVARAJ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061524

License Status

CANCELLED

Business

Title

First Name

KAVITHA

Last Name

SELVARAJ

Business Name

KAVITHA SELVARAJ MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014