SHANTALA S SREERAMA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096905

License Status

ACTIVE

Business

First Name

SHANTALA

Middle

Last Name

SREERAMA

Business Name

SHANTALA S SREERAMA

Original Issue Date

10/25/1997

Effective Date

07/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

07/29/2023