EELLAN SIVANESAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061895

License Status

EXPIRED

Business

First Name

EELLAN

Last Name

SIVANESAN

Suffix

Business Name

EELLAN SIVANESAN MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

10/07/2013