GEETHA A S SELVAKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

GEETHA

Middle

A S

Last Name

SELVAKUMAR

Suffix

Business Name

GEETHA A S SELVAKUMAR MD

Original Issue Date

01/03/2011

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014