PRATHAP BANDIPALLIAM MD - Medical Doctor License in Illinois | # 036150046

PRATHAP BANDIPALLIAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150046

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PRATHAP

Last Name

BANDIPALLIAM

Business Name

PRATHAP BANDIPALLIAM MD

Original Issue Date

07/01/2019

Effective Date

09/14/2020

Expiration Date

07/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

11/30/2023