MEDHA CHUNDURU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066467

License Status

CANCELLED

Business

Title

First Name

MEDHA

Last Name

CHUNDURU

Business Name

MEDHA CHUNDURU MD

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

06/28/2018

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/11/2015