BINDU MADHAVI REPALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057831

License Status

CANCELLED

Business

Title

First Name

BINDU

Middle

MADHAVI

Last Name

REPALA

Business Name

BINDU MADHAVI REPALA MD

Original Issue Date

09/23/2011

Effective Date

09/23/2011

Expiration Date

09/22/2013

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/23/2011