PANDURANGA R KOYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028648

License Status

EXPIRED

Business

First Name

PANDURANGA

Middle

Last Name

KOYA

Suffix

Business Name

PANDURANGA R KOYA MD

Original Issue Date

06/08/1992

Effective Date

06/08/1992

Expiration Date

06/30/1995

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006