AEKTA KAUSHIK MANJUNATH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068631

License Status

CANCELLED

Business

Title

First Name

AEKTA

Middle

KAUSHIK

Last Name

MANJUNATH

Business Name

AEKTA KAUSHIK MANJUNATH MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/23/2016