PRATHIMA KANDUKURI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084576

License Status

ACTIVE

Business

Title

First Name

PRATHIMA

Last Name

KANDUKURI

Business Name

PRATHIMA KANDUKURI DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

06/13/2024