PRATYUSHA BOLLIMUNTA MD - Medical Doctor License in Illinois | # 125066786

PRATYUSHA BOLLIMUNTA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066786

License Status

EXPIRED

Business

N

Title

MD

First Name

PRATYUSHA

Last Name

BOLLIMUNTA

Business Name

PRATYUSHA BOLLIMUNTA MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/25/2018