VIJAY KUMAR KONDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046856

License Status

EXPIRED

Business

First Name

VIJAY

Middle

KUMAR

Last Name

KONDA

Suffix

Business Name

VIJAY KUMAR KONDA MD

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

06/26/2006

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006