MADHAVI REDDY MANUBOLU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046784

License Status

EXPIRED

Business

First Name

MADHAVI

Middle

REDDY

Last Name

MANUBOLU

Suffix

Business Name

MADHAVI REDDY MANUBOLU MD

Original Issue Date

06/13/2003

Effective Date

06/13/2003

Expiration Date

06/30/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006