SUMANA KODURI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097586

License Status

INACTIVE

Business

First Name

SUMANA

Last Name

KODURI

Suffix

Business Name

SUMANA KODURI MD

Original Issue Date

04/02/1998

Effective Date

04/02/1998

Expiration Date

07/31/2002

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006