BHAGYA LAKSHMI PUPPALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056684

License Status

NOT RENEWED

Business

First Name

BHAGYA LAKSHMI

Last Name

PUPPALA

Suffix

Business Name

BHAGYA LAKSHMI PUPPALA MD

Original Issue Date

04/17/1978

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017