PRIYATHAMA VELLANKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051641

License Status

EXPIRED

Business

First Name

PRIYATHAMA

Last Name

VELLANKI

Suffix

Business Name

PRIYATHAMA VELLANKI MD

Original Issue Date

06/17/2006

Effective Date

06/17/2006

Expiration Date

06/16/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009