JAYAPRAKASH REDDY DASARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055828

License Status

CANCELLED

Business

Title

First Name

JAYAPRAKASH

Middle

REDDY

Last Name

DASARI

Business Name

JAYAPRAKASH REDDY DASARI MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/05/2009