AMITA VENKATA MATURU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053651

License Status

EXPIRED

Business

First Name

AMITA

Middle

VENKATA

Last Name

MATURU

Suffix

Business Name

AMITA VENKATA MATURU MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010