SARAH LALITHA KALLIATH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066390

License Status

CANCELLED

Business

Title

First Name

SARAH

Middle

LALITHA

Last Name

KALLIATH

Business Name

SARAH LALITHA KALLIATH DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2015