PADMAJA R MOULI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012893

License Status

EXPIRED

Business

Title

First Name

PADMAJA

Middle

Last Name

MOULI

Business Name

PADMAJA R MOULI MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/11/1983

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006