MANTENA KRISHNAM RAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057970

License Status

NOT RENEWED

Business

First Name

MANTENA KRISHNAM

Last Name

RAJU

Suffix

Business Name

MANTENA KRISHNAM RAJU MD

Original Issue Date

10/23/1978

Effective Date

10/23/1978

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006