KANTI PALLAV KOLLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050751

License Status

EXPIRED

Business

First Name

KANTI

Middle

PALLAV

Last Name

KOLLI

Suffix

Business Name

KANTI PALLAV KOLLI MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007