PRATHIMA KAPADI BASAVA REDDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056499

License Status

EXPIRED

Business

Title

First Name

PRATHIMA KAPADI

Middle

BASAVA

Last Name

REDDY

Business Name

PRATHIMA KAPADI BASAVA REDDY MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012