UDAYA BONTU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030324

License Status

EXPIRED

Business

First Name

UDAYA

Last Name

BONTU

Business Name

UDAYA BONTU

Original Issue Date

06/14/1993

Effective Date

06/14/1993

Expiration Date

06/23/1996

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006