AJAY K PONUGOTI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041733

License Status

EXPIRED

Business

First Name

AJAY

Middle

Last Name

PONUGOTI

Business Name

AJAY K PONUGOTI

Original Issue Date

06/27/2000

Effective Date

06/27/2000

Expiration Date

06/26/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006