RAHUL REDDY KOLAVALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054598

License Status

CANCELLED

Business

First Name

RAHUL

Middle

REDDY

Last Name

KOLAVALA

Suffix

Business Name

RAHUL REDDY KOLAVALA MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/21/2011