HANUMANTHA RAO KOLUSU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016239

License Status

EXPIRED

Business

Title

First Name

HANUMANTHA

Middle

RAO

Last Name

KOLUSU

Business Name

HANUMANTHA RAO KOLUSU MD

Original Issue Date

07/25/1983

Effective Date

07/25/1983

Expiration Date

07/05/1985

City

OAK FOREST

State

Zip

60452

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

09/22/2006