CHANDRA B DOMMARAJU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025929

License Status

EXPIRED

Business

Title

First Name

CHANDRA

Middle

Last Name

DOMMARAJU

Business Name

CHANDRA B DOMMARAJU MD

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/17/1993

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006