PRAVEENA REDDY SOLIPURAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039402

License Status

CANCELLED

Business

First Name

PRAVEENA

Middle

REDDY

Last Name

SOLIPURAM

Suffix

Business Name

PRAVEENA REDDY SOLIPURAM MD

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

06/24/2002

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006