PRIYATHAMA VELLANKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123379

License Status

NOT RENEWED

Business

First Name

PRIYATHAMA

Last Name

VELLANKI

Suffix

Business Name

PRIYATHAMA VELLANKI MD

Original Issue Date

05/07/2009

Effective Date

05/24/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014