PRASAD S GARIMELLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102388

License Status

NOT RENEWED

Business

First Name

PRASAD

Middle

Last Name

GARIMELLA

Business Name

PRASAD S GARIMELLA

Original Issue Date

05/01/2000

Effective Date

05/01/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006