JYOTHI VIPPARLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058179

License Status

CANCELLED

Business

Title

First Name

JYOTHI

Last Name

VIPPARLA

Business Name

JYOTHI VIPPARLA MD

Original Issue Date

06/15/2010

Effective Date

06/15/2010

Expiration Date

06/14/2013

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/14/2010