RAM MOHAN R BONGU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034754

License Status

EXPIRED

Business

First Name

RAM MOHAN R

Last Name

BONGU

Suffix

Business Name

RAM MOHAN R BONGU MD

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006