MALLISWARI CHALLAPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054366

License Status

NOT RENEWED

Business

First Name

MALLISWARI

Last Name

CHALLAPALLI

Suffix

Business Name

MALLISWARI CHALLAPALLI MD

Original Issue Date

03/11/1977

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021