SRINIVASA R BAKKANNAGARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035662

License Status

EXPIRED

Business

First Name

SRINIVASA

Middle

Last Name

BAKKANNAGARI

Suffix

Business Name

SRINIVASA R BAKKANNAGARI MD

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

06/23/2000

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006