PRAVEENA USHA JAIDEV MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001134

License Status

EXPIRED

Business

Title

First Name

PRAVEENA

Middle

USHA

Last Name

JAIDEV

Business Name

PRAVEENA USHA JAIDEV MD

Original Issue Date

01/03/2017

Effective Date

01/03/2017

Expiration Date

02/02/2017

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/09/2017