SASI B BOPPANA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038700

License Status

EXPIRED

Business

First Name

SASI

Middle

Last Name

BOPPANA

Suffix

Business Name

SASI B BOPPANA MD

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

07/05/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006