PAVANI THOTAKURA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060992

License Status

EXPIRED

Business

Title

First Name

PAVANI

Last Name

THOTAKURA

Business Name

PAVANI THOTAKURA MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013