MADHAVI ANJANEYULU GOPARAJU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050613

License Status

CANCELLED

Business

First Name

MADHAVI

Middle

ANJANEYULU

Last Name

GOPARAJU

Suffix

Business Name

MADHAVI ANJANEYULU GOPARAJU MD

Original Issue Date

06/21/2006

Effective Date

06/21/2006

Expiration Date

06/20/2009

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006