ANJALI D CHENNUPATI MD - Medical Doctor License in Illinois | # 125057638

ANJALI D CHENNUPATI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057638

License Status

EXPIRED

Business

N

Title

MD

First Name

ANJALI

Middle

D

Last Name

CHENNUPATI

Business Name

ANJALI D CHENNUPATI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

State

IL

Specialty/Qualifier

Dermatology

Ever Disciplined

N

LastModifiedDate

10/07/2013