PHANI MADHURI BORRA MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041402345

License Status

NOT RENEWED

Business

Title

First Name

PHANI

Middle

MADHURI

Last Name

BORRA

Business Name

PHANI MADHURI BORRA MD

Original Issue Date

07/12/2012

Effective Date

05/21/2020

Expiration Date

08/31/2022

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022