MEGHA ADUSUMALLI MD - Medical Doctor License in Illinois | # 125072939

MEGHA ADUSUMALLI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072939

License Status

CANCELLED

Business

N

Title

MD

First Name

MEGHA

Last Name

ADUSUMALLI

Business Name

MEGHA ADUSUMALLI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

06/08/2018