ASHOK R PENMATCHA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029400

License Status

EXPIRED

Business

First Name

ASHOK R

Last Name

PENMATCHA

Suffix

Business Name

ASHOK R PENMATCHA MD

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/21/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006