PRADEEP KODALI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125764

License Status

INACTIVE

Business

First Name

PRADEEP

Last Name

KODALI

Suffix

Business Name

PRADEEP KODALI MD

Original Issue Date

05/17/2010

Effective Date

05/17/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011