KIRAN TIMMAPPA BIDARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056554

License Status

CANCELLED

Business

Title

First Name

KIRAN

Middle

TIMMAPPA

Last Name

BIDARI

Business Name

KIRAN TIMMAPPA BIDARI MD

Original Issue Date

06/23/2009

Effective Date

06/23/2009

Expiration Date

06/22/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/02/2009