PADMA PONUGOTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036594

License Status

EXPIRED

Business

First Name

PADMA

Last Name

PONUGOTI

Suffix

Business Name

PADMA PONUGOTI MD

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

10/10/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006