NIRUPAMA NEEMA BONTHALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127829

License Status

NOT RENEWED

Business

Title

First Name

NIRUPAMA

Middle

NEEMA

Last Name

BONTHALA

Business Name

NIRUPAMA NEEMA BONTHALA MD

Original Issue Date

05/11/2011

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014