SUDARSHAN SRIVATSAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074536

License Status

EXPIRED

Business

Title

First Name

SUDARSHAN

Last Name

SRIVATSAN

Business Name

SUDARSHAN SRIVATSAN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/06/2024