ANIL KUMAR POTHARAJU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051021

License Status

CANCELLED

Business

First Name

ANIL

Middle

KUMAR

Last Name

POTHARAJU

Suffix

Business Name

ANIL KUMAR POTHARAJU MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006