PRIYA DARSHINI PURUSHOTHAMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070462

License Status

EXPIRED

Business

Title

First Name

PRIYA

Middle

DARSHINI

Last Name

PURUSHOTHAMAN

Business Name

PRIYA DARSHINI PURUSHOTHAMAN MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Child Neurology

Ever Disciplined

LastModifiedDate

10/11/2022