PRASADRAO R KODURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049554

License Status

NOT RENEWED

Business

First Name

PRASADRAO R

Last Name

KODURI

Suffix

Business Name

PRASADRAO R KODURI MD

Original Issue Date

08/28/1974

Effective Date

05/13/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023