KALYANI KODURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027495

License Status

EXPIRED

Business

First Name

KALYANI

Last Name

KODURI

Suffix

Business Name

KALYANI KODURI MD

Original Issue Date

08/12/1991

Effective Date

08/12/1991

Expiration Date

08/08/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006