BHANU PRASAD VENKATESULU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075399

License Status

EXPIRED

Business

Title

First Name

BHANU PRASAD

Last Name

VENKATESULU

Business Name

BHANU PRASAD VENKATESULU MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

10/30/2024