NIRUPAMA NEEMA BONTHALA MD - Medical Doctor License in Illinois | # 036127829

NIRUPAMA NEEMA BONTHALA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127829

License Status

NOT RENEWED

Business

N

Title

MD

First Name

NIRUPAMA

Middle

NEEMA

Last Name

BONTHALA

Business Name

NIRUPAMA NEEMA BONTHALA MD

Original Issue Date

05/11/2011

Effective Date

05/11/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014