SRINIVASA R BAKKANNAGARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101103

License Status

NOT RENEWED

Business

First Name

SRINIVASA

Middle

Last Name

BAKKANNAGARI

Suffix

Business Name

SRINIVASA R BAKKANNAGARI MD

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2007