KRISHNA CHAITANYA MYLAVARAPU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054268

License Status

EXPIRED

Business

First Name

KRISHNA

Middle

CHAITANYA

Last Name

MYLAVARAPU

Suffix

Business Name

KRISHNA CHAITANYA MYLAVARAPU MD

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

06/16/2009

City

MELROSE PARK

State

Zip

60160

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/23/2012