SOUMINI CHINTALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067858

License Status

CANCELLED

Business

Title

First Name

SOUMINI

Last Name

CHINTALA

Business Name

SOUMINI CHINTALA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PHOENIX

State

Zip

85016

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

06/25/2015