RAGHU SHANTAN REDDY MARRI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057977

License Status

CANCELLED

Business

Title

First Name

RAGHU SHANTAN

Middle

REDDY

Last Name

MARRI

Business Name

RAGHU SHANTAN REDDY MARRI MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

06/04/2013