RUPA BONTU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014817

License Status

EXPIRED

Business

First Name

RUPA

Last Name

BONTU

Suffix

Business Name

RUPA BONTU MD

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

07/06/1984

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006