KALPANA PUPPALA BICKNELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117072

License Status

NOT RENEWED

Business

First Name

KALPANA

Middle

PUPPALA

Last Name

BICKNELL

Suffix

Business Name

KALPANA PUPPALA BICKNELL MD

Original Issue Date

10/20/2006

Effective Date

07/22/2011

Expiration Date

07/31/2014

City

LONG GRIVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014