SASHANK KOLLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057634

License Status

CANCELLED

Business

Title

First Name

SASHANK

Last Name

KOLLI

Business Name

SASHANK KOLLI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/10/2010