SUDHAKER ANCHA - Medical Doctor License in Illinois | # 125027170

SUDHAKER ANCHA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027170

License Status

EXPIRED

Business

N

First Name

SUDHAKER

Last Name

ANCHA

Business Name

SUDHAKER ANCHA

Original Issue Date

06/12/1991

Effective Date

06/12/1991

Expiration Date

06/30/1994

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006