ALETHEA JADE APPAVU DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072162

License Status

CANCELLED

Business

Title

First Name

ALETHEA

Middle

JADE

Last Name

APPAVU

Business Name

ALETHEA JADE APPAVU DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

04/05/2021