SUMAN PATAL REDDY MANCHIREDDY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050154

License Status

EXPIRED

Business

First Name

SUMAN PATAL

Middle

REDDY

Last Name

MANCHIREDDY

Business Name

SUMAN PATAL REDDY MANCHIREDDY

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2008

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008