KISHORE BOBBA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048392

License Status

EXPIRED

Business

First Name

KISHORE

Last Name

BOBBA

Suffix

Business Name

KISHORE BOBBA MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/03/2007