GEETHA BHAVANI KANDIMALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046565

License Status

EXPIRED

Business

First Name

GEETHA

Middle

BHAVANI

Last Name

KANDIMALA

Suffix

Business Name

GEETHA BHAVANI KANDIMALA MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

07/21/2004

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006