SRI D KOLLI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027605

License Status

EXPIRED

Business

First Name

SRI D

Last Name

KOLLI

Business Name

SRI D KOLLI

Original Issue Date

12/17/1991

Effective Date

12/17/1991

Expiration Date

12/15/1994

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006