PRATYUSHA BOLLIMUNTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066786

License Status

EXPIRED

Business

Title

First Name

PRATYUSHA

Last Name

BOLLIMUNTA

Business Name

PRATYUSHA BOLLIMUNTA MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018