UDAY B DANDAMUDI Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035792

License Status

CANCELLED

Business

First Name

UDAY

Middle

Last Name

DANDAMUDI

Business Name

UDAY B DANDAMUDI

Original Issue Date

05/05/1997

Effective Date

05/05/1997

Expiration Date

06/14/2000

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

03/21/2007