ELLIL OVIYA KRISHNARAJU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078579

License Status

CANCELLED

Business

Title

First Name

ELLIL

Middle

OVIYA

Last Name

KRISHNARAJU

Business Name

ELLIL OVIYA KRISHNARAJU MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/30/2021