KIRAN KISHOR CHANDRASEKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086233

License Status

ACTIVE

Business

Title

First Name

KIRAN

Middle

KISHOR

Last Name

CHANDRASEKAR

Business Name

KIRAN KISHOR CHANDRASEKAR MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/30/2025