KALPANA PUPPALA BICKNELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045741

License Status

EXPIRED

Business

First Name

KALPANA

Middle

PUPPALA

Last Name

BICKNELL

Suffix

Business Name

KALPANA PUPPALA BICKNELL MD

Original Issue Date

06/22/2003

Effective Date

06/22/2003

Expiration Date

07/17/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006