KEVIN SURESH CHANDRASENA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066341

License Status

EXPIRED

Business

Title

First Name

KEVIN

Middle

SURESH

Last Name

CHANDRASENA

Business Name

KEVIN SURESH CHANDRASENA DO

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

07/29/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/04/2018