VIDYA PANGULURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059324

License Status

CANCELLED

Business

Title

First Name

VIDYA

Last Name

PANGULURI

Business Name

VIDYA PANGULURI MD

Original Issue Date

06/14/2011

Effective Date

06/14/2011

Expiration Date

06/13/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/17/2011