VAMSI KIRAN KODUMURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050331

License Status

EXPIRED

Business

First Name

VAMSI

Middle

KIRAN

Last Name

KODUMURI

Suffix

Business Name

VAMSI KIRAN KODUMURI MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008