BHAVANA MADYAHNAPU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050074

License Status

EXPIRED

Business

First Name

BHAVANA

Last Name

MADYAHNAPU

Suffix

Business Name

BHAVANA MADYAHNAPU MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/26/2008