CHAITANYA R KONDA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067426

License Status

EXPIRED

Business

First Name

CHAITANYA

Middle

Last Name

KONDA

Suffix

Business Name

CHAITANYA R KONDA DO

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2016

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016