PRAJWAL CHAITANYA BODDU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063527

License Status

EXPIRED

Business

First Name

PRAJWAL

Middle

CHAITANYA

Last Name

BODDU

Suffix

Business Name

PRAJWAL CHAITANYA BODDU MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016