NAVNEETH RAO BONGU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050652

License Status

CANCELLED

Business

First Name

NAVNEETH

Middle

RAO

Last Name

BONGU

Suffix

Business Name

NAVNEETH RAO BONGU MD

Original Issue Date

06/20/2006

Effective Date

06/20/2006

Expiration Date

06/19/2009

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006