VIDHAN SRIVASTAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074391

License Status

EXPIRED

Business

Title

First Name

VIDHAN

Last Name

SRIVASTAVA

Business Name

VIDHAN SRIVASTAVA MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/06/2024