MAMATHA BOLLINENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119639

License Status

NOT RENEWED

Business

First Name

MAMATHA

Last Name

BOLLINENI

Suffix

Business Name

MAMATHA BOLLINENI MD

Original Issue Date

11/02/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011