MOSHINI CHRISTINA SIVASUBRAMANIAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064873

License Status

CANCELLED

Business

Title

First Name

MOSHINI

Middle

CHRISTINA

Last Name

SIVASUBRAMANIAM

Business Name

MOSHINI CHRISTINA SIVASUBRAMANIAM MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/02/2014