PADMAJA R GADDAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053889

License Status

CANCELLED

Business

First Name

PADMAJA

Middle

Last Name

GADDAM

Suffix

Business Name

PADMAJA R GADDAM MD

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

06/16/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/11/2007