ROM MOHAN R KOPPARTHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016433

License Status

EXPIRED

Business

First Name

ROM MOHAN R

Last Name

KOPPARTHI

Suffix

Business Name

ROM MOHAN R KOPPARTHI MD

Original Issue Date

10/26/1983

Effective Date

10/26/1983

Expiration Date

10/19/1985

City

OAK FOREST

State

Zip

60452

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

09/22/2006