RAVIKUMARI GOLLAPALLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064405

License Status

EXPIRED

Business

First Name

RAVIKUMARI

Last Name

GOLLAPALLI

Suffix

Business Name

RAVIKUMARI GOLLAPALLI MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017