NAVEENA POLAVARAPU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038877

License Status

EXPIRED

Business

First Name

NAVEENA

Last Name

POLAVARAPU

Business Name

NAVEENA POLAVARAPU

Original Issue Date

10/15/1998

Effective Date

10/15/1998

Expiration Date

10/14/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006