KALYANI RAO MEDURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121876

License Status

NOT RENEWED

Business

First Name

KALYANI

Middle

RAO

Last Name

MEDURI

Suffix

Business Name

KALYANI RAO MEDURI MD

Original Issue Date

08/29/2008

Effective Date

08/29/2008

Expiration Date

07/31/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011