BHANU KIRAN PISINI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054920

License Status

CANCELLED

Business

Title

First Name

BHANU

Middle

KIRAN

Last Name

PISINI

Business Name

BHANU KIRAN PISINI MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/20/2010