MANJUNATH S KOTTALGI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055930

License Status

EXPIRED

Business

First Name

MANJUNATH

Middle

Last Name

KOTTALGI

Business Name

MANJUNATH S KOTTALGI

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012