VENU MADHAV MADHIPATLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045292

License Status

EXPIRED

Business

First Name

VENU

Middle

MADHAV

Last Name

MADHIPATLA

Suffix

Business Name

VENU MADHAV MADHIPATLA MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

06/30/2005

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006