RAGHAVENDER BOOTHPUR MD - Medical Doctor License in Illinois | # 125047021

RAGHAVENDER BOOTHPUR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047021

License Status

EXPIRED

Business

N

First Name

RAGHAVENDER

Last Name

BOOTHPUR

Suffix

MD

Business Name

RAGHAVENDER BOOTHPUR MD

Original Issue Date

07/16/2003

Effective Date

07/16/2003

Expiration Date

07/15/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006