RANGA JYOTHI PATRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062502

License Status

EXPIRED

Business

Title

First Name

RANGA

Middle

JYOTHI

Last Name

PATRI

Business Name

RANGA JYOTHI PATRI MD

Original Issue Date

09/27/2012

Effective Date

09/27/2012

Expiration Date

09/26/2014

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015