PRASHANTHI BOPPANA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034999

License Status

EXPIRED

Business

First Name

PRASHANTHI

Last Name

BOPPANA

Business Name

PRASHANTHI BOPPANA

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006