PRAMEELA BANOTH MD - Medical Doctor License in Illinois | # 125055676

PRAMEELA BANOTH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055676

License Status

EXPIRED

Business

N

Title

MD

First Name

PRAMEELA

Last Name

BANOTH

Business Name

PRAMEELA BANOTH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012