SRINIVASU M AMMISETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094290

License Status

NOT RENEWED

Business

First Name

SRINIVASU M

Last Name

AMMISETTY

Suffix

Business Name

SRINIVASU M AMMISETTY MD

Original Issue Date

09/27/1996

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

RIVERWOOD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/06/2008