MURTHY S MANDAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032594

License Status

EXPIRED

Business

First Name

MURTHY S

Last Name

MANDAVA

Suffix

Business Name

MURTHY S MANDAVA MD

Original Issue Date

05/22/1995

Effective Date

05/22/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006