SIVA S GUMMADI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090797

License Status

NOT RENEWED

Business

First Name

SIVA

Middle

Last Name

GUMMADI

Suffix

Business Name

SIVA S GUMMADI MD

Original Issue Date

06/05/1995

Effective Date

06/05/1995

Expiration Date

07/31/2005

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006