VISWANATHAM SUSARLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047106

License Status

ACTIVE

Business

First Name

VISWANATHAM

Last Name

SUSARLA

Suffix

Business Name

VISWANATHAM SUSARLA MD

Original Issue Date

02/07/1973

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

04/06/2023