VENKATESWARLU THOTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084637

License Status

NOT RENEWED

Business

First Name

VENKATESWARLU

Last Name

THOTA

Suffix

Business Name

VENKATESWARLU THOTA MD

Original Issue Date

06/29/1992

Effective Date

06/29/1992

Expiration Date

07/31/1999

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006