RAMANA VENKATA YEDAVALLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045995

License Status

EXPIRED

Business

First Name

RAMANA

Middle

VENKATA

Last Name

YEDAVALLI

Suffix

Business Name

RAMANA VENKATA YEDAVALLI MD

Original Issue Date

06/17/2003

Effective Date

06/17/2003

Expiration Date

06/16/2004

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006