HEMANTHA K KODURI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116660

License Status

INACTIVE

Business

First Name

HEMANTHA

Middle

Last Name

KODURI

Suffix

Business Name

HEMANTHA K KODURI MD

Original Issue Date

08/02/2006

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014