SRINIVAS B MUKKAMALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098022

License Status

NOT RENEWED

Business

First Name

SRINIVAS

Middle

Last Name

MUKKAMALA

Business Name

SRINIVAS B MUKKAMALA

Original Issue Date

06/12/1998

Effective Date

06/12/1998

Expiration Date

07/31/2002

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006