ANUPAMA VALLALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043301

License Status

EXPIRED

Business

First Name

ANUPAMA

Last Name

VALLALA

Business Name

ANUPAMA VALLALA

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006