KIRAN POLAVARAPU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045809

License Status

EXPIRED

Business

Title

First Name

KIRAN

Last Name

POLAVARAPU

Business Name

KIRAN POLAVARAPU MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/22/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006