THRIVENI SANAGALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032256

License Status

EXPIRED

Business

First Name

THRIVENI

Last Name

SANAGALA

Suffix

Business Name

THRIVENI SANAGALA MD

Original Issue Date

07/22/1994

Effective Date

07/22/1994

Expiration Date

07/21/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2007