GNANESWARA V MIDATHALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030483

License Status

EXPIRED

Business

Title

First Name

GNANESWARA V

Last Name

MIDATHALA

Business Name

GNANESWARA V MIDATHALA MD

Original Issue Date

06/28/1993

Effective Date

06/28/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006