SHYAM VADLAPATLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060173

License Status

CANCELLED

Business

Title

First Name

SHYAM

Last Name

VADLAPATLA

Business Name

SHYAM VADLAPATLA 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

03/24/2014