VENUGOPAL N KELUTH CHAVAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062497

License Status

EXPIRED

Business

Title

First Name

VENUGOPAL

Middle

Last Name

KELUTH CHAVAN

Business Name

VENUGOPAL N KELUTH CHAVAN MD

Original Issue Date

11/19/2012

Effective Date

11/19/2012

Expiration Date

11/18/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced Interventional Radiology

Ever Disciplined

LastModifiedDate

12/26/2013