MANJULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037267

License Status

EXPIRED

Business

Last Name

MANJULA

Suffix

Business Name

MANJULA MD

Original Issue Date

02/01/1998

Effective Date

02/01/1998

Expiration Date

01/31/2001

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006