BASAVARAJU N CHANDRAPPA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055156

License Status

CANCELLED

Business

Title

First Name

BASAVARAJU

Middle

Last Name

CHANDRAPPA

Business Name

BASAVARAJU N CHANDRAPPA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/23/2008