RAJENDRA P MULLAPUDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045446

License Status

EXPIRED

Business

First Name

RAJENDRA

Middle

Last Name

MULLAPUDI

Suffix

Business Name

RAJENDRA P MULLAPUDI MD

Original Issue Date

10/07/2002

Effective Date

10/07/2002

Expiration Date

11/13/2006

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/26/2007