PRASHANTHI BOPPANA - Medical Doctor License in Illinois | # 036098877

PRASHANTHI BOPPANA

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098877

License Status

ACTIVE

Business

N

First Name

PRASHANTHI

Last Name

BOPPANA

Business Name

PRASHANTHI BOPPANA

Original Issue Date

08/25/1998

Effective Date

04/18/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/18/2023