KAMALA TUMMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057543

License Status

NOT RENEWED

Business

First Name

KAMALA

Last Name

TUMMALA

Suffix

Business Name

KAMALA TUMMALA MD

Original Issue Date

08/21/1978

Effective Date

06/07/2017

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021