MADHURI VENTRAPRAGADA KONANAHALLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046401

License Status

EXPIRED

Business

First Name

MADHURI

Middle

VENTRAPRAGADA

Last Name

KONANAHALLI

Suffix

Business Name

MADHURI VENTRAPRAGADA KONANAHALLI MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/30/2007

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

07/03/2007