PREMLATHA MEDURI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038766

License Status

EXPIRED

Business

First Name

PREMLATHA

Last Name

MEDURI

Business Name

PREMLATHA MEDURI

Original Issue Date

07/23/1998

Effective Date

07/23/1998

Expiration Date

07/22/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006