NAGA BHAVANI MEDURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119776

License Status

NOT RENEWED

Business

First Name

NAGA

Middle

BHAVANI

Last Name

MEDURI

Suffix

Business Name

NAGA BHAVANI MEDURI MD

Original Issue Date

12/04/2007

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011