DIVYA HARIHARAN DHARIA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075260

License Status

CANCELLED

Business

Title

First Name

DIVYA

Middle

HARIHARAN

Last Name

DHARIA

Business Name

DIVYA HARIHARAN DHARIA DO

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

Anesthesiology

Ever Disciplined

LastModifiedDate

06/11/2019