KALYANI MAGANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108137

License Status

NOT RENEWED

Business

First Name

KALYANI

Last Name

MAGANTI

Suffix

Business Name

KALYANI MAGANTI MD

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006