KRIS VENKATA TAMIRISA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098821

License Status

NOT RENEWED

Business

First Name

KRIS

Middle

VENKATA

Last Name

TAMIRISA

Suffix

Business Name

KRIS VENKATA TAMIRISA MD

Original Issue Date

08/19/1998

Effective Date

08/19/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006