PRAMILA R VENIGALLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037599

License Status

EXPIRED

Business

First Name

PRAMILA

Middle

Last Name

VENIGALLA

Suffix

Business Name

PRAMILA R VENIGALLA MD

Original Issue Date

05/11/1998

Effective Date

05/11/1998

Expiration Date

06/30/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006