VIKRAM REDDY PENUMALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120642

License Status

NOT RENEWED

Business

First Name

VIKRAM

Middle

REDDY

Last Name

PENUMALLI

Suffix

Business Name

VIKRAM REDDY PENUMALLI MD

Original Issue Date

04/17/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011