VENKATA SIVA NAGA PRASAD MANNAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142986

License Status

NOT RENEWED

Business

Title

First Name

VENKATA

Middle

SIVA NAGA PRASAD

Last Name

MANNAVA

Business Name

VENKATA SIVA NAGA PRASAD MANNAVA MD

Original Issue Date

04/13/2017

Effective Date

04/13/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021