LEELA SIVA SAI DHANEKULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032310

License Status

EXPIRED

Business

First Name

LEELA SIVA SAI

Last Name

DHANEKULA

Suffix

Business Name

LEELA SIVA SAI DHANEKULA MD

Original Issue Date

08/08/1994

Effective Date

08/08/1994

Expiration Date

08/07/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006