RAVI PRAKASH KODALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097923

License Status

NOT RENEWED

Business

First Name

RAVI

Middle

PRAKASH

Last Name

KODALI

Suffix

Business Name

RAVI PRAKASH KODALI MD

Original Issue Date

06/05/1998

Effective Date

06/05/1998

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006