PRAMEELA BOTLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060411

License Status

INACTIVE

Business

First Name

PRAMEELA

Last Name

BOTLA

Suffix

Business Name

PRAMEELA BOTLA MD

Original Issue Date

06/26/1980

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014