VIKRAM REDDY PENUMALLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049877

License Status

CANCELLED

Business

First Name

VIKRAM

Middle

REDDY

Last Name

PENUMALLI

Suffix

Business Name

VIKRAM REDDY PENUMALLI MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006