PRADEEPA PATRICIA VIMALACHANDRAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001112

License Status

EXPIRED

Business

Title

First Name

PRADEEPA

Middle

PATRICIA

Last Name

VIMALACHANDRAN

Business Name

PRADEEPA PATRICIA VIMALACHANDRAN MD

Original Issue Date

06/07/2016

Effective Date

06/07/2016

Expiration Date

07/06/2016

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

06/07/2016