GEETHA SIVAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077998

License Status

NOT RENEWED

Business

First Name

GEETHA

Last Name

SIVAM

Business Name

GEETHA SIVAM

Original Issue Date

10/08/1988

Effective Date

10/08/1988

Expiration Date

07/31/1990

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006