PRATYUSHA YADAVALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150495

License Status

NOT RENEWED

Business

Title

First Name

PRATYUSHA

Last Name

YADAVALLI

Business Name

PRATYUSHA YADAVALLI MD

Original Issue Date

08/14/2019

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023