PRASANTHI TUMMURU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122299

License Status

INACTIVE

Business

Title

First Name

PRASANTHI

Last Name

TUMMURU

Business Name

PRASANTHI TUMMURU MD

Original Issue Date

12/08/2008

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

SCOTTSDALE

State

Zip

85254

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020