SUDHAKAR VENKATA MALLELA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032191

License Status

EXPIRED

Business

First Name

SUDHAKAR VENKATA

Last Name

MALLELA

Business Name

SUDHAKAR VENKATA MALLELA

Original Issue Date

07/15/1994

Effective Date

07/15/1994

Expiration Date

07/14/1997

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006