RUPA BONTU MD - Medical Doctor License in Illinois | # 125014817

RUPA BONTU MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014817

License Status

EXPIRED

Business

N

First Name

RUPA

Last Name

BONTU

Suffix

MD

Business Name

RUPA BONTU MD

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

07/06/1984

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006