ATHAVI JEEVANANTHAN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074303

License Status

EXPIRED

Business

First Name

ATHAVI

Last Name

JEEVANANTHAN

Business Name

ATHAVI JEEVANANTHAN

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022