VIDHYA DEVI SRINIVASAN ILLURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058616

License Status

EXPIRED

Business

Title

First Name

VIDHYA

Middle

DEVI SRINIVASAN

Last Name

ILLURI

Business Name

VIDHYA DEVI SRINIVASAN ILLURI MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013