PRIYANKA KANAKAMEDALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064390

License Status

EXPIRED

Business

Title

First Name

PRIYANKA

Last Name

KANAKAMEDALA

Business Name

PRIYANKA KANAKAMEDALA MD

Original Issue Date

06/09/2014

Effective Date

06/09/2014

Expiration Date

06/08/2015

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

09/04/2015