PURUSHOTHAMA V DASARAJU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024260

License Status

EXPIRED

Business

First Name

PURUSHOTHAMA V

Last Name

DASARAJU

Business Name

PURUSHOTHAMA V DASARAJU

Original Issue Date

06/27/1989

Effective Date

06/27/1989

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006