ANUDEEP DASARAJU MD - Medical Doctor License in Illinois | # 125074388

ANUDEEP DASARAJU MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074388

License Status

EXPIRED

Business

N

Title

MD

First Name

ANUDEEP

Last Name

DASARAJU

Business Name

ANUDEEP DASARAJU MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

DIXON

State

IL

Zip

61021

County

LEE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

10/11/2022