ANITHA R KUCHIPUDI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035675

License Status

EXPIRED

Business

First Name

ANITHA

Middle

Last Name

KUCHIPUDI

Business Name

ANITHA R KUCHIPUDI

Original Issue Date

04/24/1997

Effective Date

04/24/1997

Expiration Date

06/23/2000

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006