SRIVEER KAASAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063374

License Status

NOT RENEWED

Business

First Name

SRIVEER

Last Name

KAASAM

Suffix

Business Name

SRIVEER KAASAM MD

Original Issue Date

06/26/2016

Effective Date

06/26/2016

Expiration Date

09/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/09/2017