NIRUPAMA NEEMA BONTHALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055240

License Status

EXPIRED

Business

Title

First Name

NIRUPAMA

Middle

NEEMA

Last Name

BONTHALA

Business Name

NIRUPAMA NEEMA BONTHALA MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011