PHANI ASHOK ATTALURI MD - Medical Doctor License in Illinois | # 125046829

PHANI ASHOK ATTALURI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046829

License Status

CANCELLED

Business

N

First Name

PHANI

Middle

ASHOK

Last Name

ATTALURI

Suffix

MD

Business Name

PHANI ASHOK ATTALURI MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006