KIRAN POLAVARAPU MD SC - Medical Corporation License in Illinois | # 042619826

KIRAN POLAVARAPU MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619826

License Status

NOT RENEWED

Business

Y

Business Name

KIRAN POLAVARAPU MD SC

Original Issue Date

08/09/2011

Effective Date

11/07/2011

Expiration Date

01/01/2013

State

IL

Ever Disciplined

N

LastModifiedDate

02/21/2013