PREMLATHA MEDURI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104106

License Status

NOT RENEWED

Business

First Name

PREMLATHA

Last Name

MEDURI

Business Name

PREMLATHA MEDURI

Original Issue Date

02/02/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008