KONDA B C MOULI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057736

License Status

NOT RENEWED

Business

First Name

KONDA B C

Last Name

MOULI

Suffix

Business Name

KONDA B C MOULI MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1987

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006