MADHURI THOTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040009

License Status

CANCELLED

Business

First Name

MADHURI

Last Name

THOTA

Suffix

Business Name

MADHURI THOTA MD

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/23/2002

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006