BOOTHAPURI VENKATESH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106454

License Status

NOT RENEWED

Business

First Name

BOOTHAPURI

Last Name

VENKATESH

Suffix

Business Name

BOOTHAPURI VENKATESH MD

Original Issue Date

03/07/2002

Effective Date

03/07/2002

Expiration Date

07/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006