ARIANA KARTIKA ANUGERAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069860

License Status

EXPIRED

Business

Title

First Name

ARIANA

Middle

KARTIKA

Last Name

ANUGERAH

Business Name

ARIANA KARTIKA ANUGERAH MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/19/2020