JYOTHSNA PRIYADARSHINI BANDARU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068163

License Status

EXPIRED

Business

Title

First Name

JYOTHSNA

Middle

PRIYADARSHINI

Last Name

BANDARU

Business Name

JYOTHSNA PRIYADARSHINI BANDARU MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

10/15/2019

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/13/2020