UDAYA BONTU - Medical Doctor License in Illinois | # 125030324

UDAYA BONTU

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030324

License Status

EXPIRED

Business

N

First Name

UDAYA

Last Name

BONTU

Business Name

UDAYA BONTU

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

06/23/1996

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006