PRAKASAM KALLURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111309

License Status

NOT RENEWED

Business

First Name

PRAKASAM

Last Name

KALLURI

Suffix

Business Name

PRAKASAM KALLURI MD

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

07/31/2005

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006