RAGHU IDUPUGANTI DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045286

License Status

EXPIRED

Business

First Name

RAGHU

Last Name

IDUPUGANTI

Suffix

Business Name

RAGHU IDUPUGANTI DO

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

06/30/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006