PRAGATHY VUTLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045217

License Status

EXPIRED

Business

First Name

PRAGATHY

Last Name

VUTLA

Suffix

Business Name

PRAGATHY VUTLA MD

Original Issue Date

06/28/2002

Effective Date

06/28/2002

Expiration Date

06/27/2005

City

CHICAGO

State

Zip

60640

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006