KIRAN POLAVARAPU MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619826

License Status

NOT RENEWED

Business

Business Name

KIRAN POLAVARAPU MD SC

Original Issue Date

08/09/2011

Effective Date

11/07/2011

Expiration Date

01/01/2013

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/21/2013