ANTARA PRATAP POTHULOORI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052025

License Status

EXPIRED

Business

First Name

ANTARA

Middle

PRATAP

Last Name

POTHULOORI

Suffix

Business Name

ANTARA PRATAP POTHULOORI MD

Original Issue Date

06/23/2006

Effective Date

06/23/2006

Expiration Date

06/22/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/15/2009