BASAVARAJU N CHANDRAPPA MD - Medical Doctor License in Illinois | # 125055156

BASAVARAJU N CHANDRAPPA MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055156

License Status

CANCELLED

Business

N

Title

MD

First Name

BASAVARAJU

Middle

N

Last Name

CHANDRAPPA

Business Name

BASAVARAJU N CHANDRAPPA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

04/23/2008