SHYLENDRA BYATARAYA SREENIVASAPPA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047157

License Status

CANCELLED

Business

First Name

SHYLENDRA

Middle

BYATARAYA

Last Name

SREENIVASAPPA

Suffix

Business Name

SHYLENDRA BYATARAYA SREENIVASAPPA MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006