BENERJI V S GUDAPATI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047056

License Status

EXPIRED

Business

First Name

BENERJI

Middle

V S

Last Name

GUDAPATI

Business Name

BENERJI V S GUDAPATI

Original Issue Date

07/31/2003

Effective Date

07/31/2003

Expiration Date

07/30/2005

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006