BALASUBRAMANYA P SOMPALLI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026001

License Status

EXPIRED

Business

First Name

BALASUBRAMANYA

Middle

Last Name

SOMPALLI

Business Name

BALASUBRAMANYA P SOMPALLI

Original Issue Date

08/13/1990

Effective Date

08/13/1990

Expiration Date

07/30/1993

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006