BUDDHI P K HATHARALIYADDA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072956

License Status

EXPIRED

Business

First Name

BUDDHI

Middle

P K

Last Name

HATHARALIYADDA

Business Name

BUDDHI P K HATHARALIYADDA

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/29/2025