KAVITHA MOOLAMALLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091639

License Status

NOT RENEWED

Business

First Name

KAVITHA

Last Name

MOOLAMALLA

Business Name

KAVITHA MOOLAMALLA

Original Issue Date

08/21/1995

Effective Date

08/21/1995

Expiration Date

07/31/1999

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006