RAGHAVENDER BOOTHPUR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047021

License Status

EXPIRED

Business

First Name

RAGHAVENDER

Last Name

BOOTHPUR

Suffix

Business Name

RAGHAVENDER BOOTHPUR MD

Original Issue Date

07/16/2003

Effective Date

07/16/2003

Expiration Date

07/15/2006

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006