License Directory

Madhava Chary Tangallapally Md

Expired

Illinois license 036060422

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036060422
Status
Expired (Not Renewed)
First issued
June 26, 1980
Expired
July 1, 1982
License holder
Madhava Chary Tangallapally Md
Entity type
Individual

Classifications

More from the license record

Current term began
06/26/1980

Contact

St Louis, MO 63123
Missouri County