SAILAJA MAMILLA CHERUKU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103991

License Status

ACTIVE

Business

First Name

SAILAJA

Middle

MAMILLA

Last Name

CHERUKU

Suffix

Business Name

SAILAJA MAMILLA CHERUKU MD

Original Issue Date

01/05/2001

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/08/2023