PRASAD R GOLLAPUDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018912

License Status

EXPIRED

Business

First Name

PRASAD R

Last Name

GOLLAPUDI

Suffix

Business Name

PRASAD R GOLLAPUDI MD

Original Issue Date

07/26/1985

Effective Date

07/26/1985

Expiration Date

06/22/1988

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006