BAPANAIAH PENUGONDA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025854

License Status

EXPIRED

Business

First Name

BAPANAIAH

Last Name

PENUGONDA

Business Name

BAPANAIAH PENUGONDA

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/05/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006