RAM G PENMETSA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025361

License Status

EXPIRED

Business

First Name

RAM G

Last Name

PENMETSA

Business Name

RAM G PENMETSA

Original Issue Date

06/07/1990

Effective Date

06/07/1990

Expiration Date

06/24/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006