PRATHYUSHA VENKATA NAIDU DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067795

License Status

EXPIRED

Business

Title

First Name

PRATHYUSHA

Middle

VENKATA

Last Name

NAIDU

Business Name

PRATHYUSHA VENKATA NAIDU DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/22/2015