NAGA PRANAVI ELLANTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074533

License Status

EXPIRED

Business

Title

First Name

NAGA

Middle

PRANAVI

Last Name

ELLANTI

Business Name

NAGA PRANAVI ELLANTI MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022