PRATYUSHA YADAVALLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001225

License Status

EXPIRED

Business

Title

First Name

PRATYUSHA

Last Name

YADAVALLI

Business Name

PRATYUSHA YADAVALLI MD

Original Issue Date

07/02/2018

Effective Date

07/02/2018

Expiration Date

08/01/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Sleep Medicine

Ever Disciplined

LastModifiedDate

12/04/2018