BHARATH PENDYALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071674

License Status

CANCELLED

Business

Title

First Name

BHARATH

Last Name

PENDYALA

Business Name

BHARATH PENDYALA MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/13/2018