SRAVAN KUMAR THANGEDA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048419

License Status

EXPIRED

Business

First Name

SRAVAN

Middle

KUMAR

Last Name

THANGEDA

Business Name

SRAVAN KUMAR THANGEDA

Original Issue Date

06/23/2004

Effective Date

06/23/2004

Expiration Date

06/22/2007

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2007