RAGHAVESH PULLALAREVU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055628

License Status

EXPIRED

Business

First Name

RAGHAVESH

Last Name

PULLALAREVU

Business Name

RAGHAVESH PULLALAREVU

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

06/15/2010

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018