RAMAKRISHNA VENKATA BEHARA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060256

License Status

CANCELLED

Business

Title

First Name

RAMAKRISHNA

Middle

VENKATA

Last Name

BEHARA

Business Name

RAMAKRISHNA VENKATA BEHARA DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014