HARSHA K SUD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048863

License Status

INACTIVE

Business

First Name

HARSHA K

Last Name

SUD

Suffix

Business Name

HARSHA K SUD MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

Expiration Date

07/31/2005

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006