PRADEEP KODALI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047659

License Status

EXPIRED

Business

First Name

PRADEEP

Last Name

KODALI

Suffix

Business Name

PRADEEP KODALI MD

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

07/15/2009