BHARAT KUMAR PUCHAKAYALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123986

License Status

NOT RENEWED

Business

Title

First Name

BHARAT

Middle

KUMAR

Last Name

PUCHAKAYALA

Business Name

BHARAT KUMAR PUCHAKAYALA MD

Original Issue Date

07/13/2009

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

OGLESBY

State

Zip

61348

County

LA SALLE

Ever Disciplined

LastModifiedDate

11/17/2014