SRIVATSATEJASWI GUNDALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061281

License Status

CANCELLED

Business

Title

First Name

SRIVATSATEJASWI

Last Name

GUNDALA

Business Name

SRIVATSATEJASWI GUNDALA MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014