ADITYA KANESA THASAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066318

License Status

EXPIRED

Business

Title

First Name

ADITYA

Last Name

KANESA THASAN

Business Name

ADITYA KANESA THASAN MD

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2016

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

08/16/2016