VENKATA S ERELLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042982

License Status

EXPIRED

Business

First Name

VENKATA

Middle

Last Name

ERELLA

Suffix

Business Name

VENKATA S ERELLA MD

Original Issue Date

06/20/2001

Effective Date

06/20/2001

Expiration Date

06/19/2003

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006