VANI J ALBERTSON KONDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042576

License Status

CANCELLED

Business

First Name

VANI

Middle

J ALBERTSON

Last Name

KONDA

Suffix

Business Name

VANI J ALBERTSON KONDA MD

Original Issue Date

06/24/2001

Effective Date

06/24/2001

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006