REVATI VENKATA NEMANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047004

License Status

EXPIRED

Business

First Name

REVATI

Middle

VENKATA

Last Name

NEMANI

Suffix

Business Name

REVATI VENKATA NEMANI MD

Original Issue Date

07/09/2003

Effective Date

07/09/2003

Expiration Date

07/08/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006