JAHNAVI KOPPALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053911

License Status

EXPIRED

Business

Title

First Name

JAHNAVI

Last Name

KOPPALA

Business Name

JAHNAVI KOPPALA MD

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

06/24/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011