BHANU SIVA MOHAN PINNAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080000

License Status

EXPIRED

Business

Title

First Name

BHANU

Middle

SIVA MOHAN

Last Name

PINNAM

Business Name

BHANU SIVA MOHAN PINNAM MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2025