SANKARA R PERURI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048820

License Status

INACTIVE

Business

First Name

SANKARA R

Last Name

PERURI

Business Name

SANKARA R PERURI

Original Issue Date

02/05/1974

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

04/08/2014