PHANI ASHOK ATTALURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046829

License Status

CANCELLED

Business

First Name

PHANI

Middle

ASHOK

Last Name

ATTALURI

Suffix

Business Name

PHANI ASHOK ATTALURI MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006