SUMA DASARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118177

License Status

NOT RENEWED

Business

First Name

SUMA

Last Name

DASARI

Suffix

Business Name

SUMA DASARI MD

Original Issue Date

04/18/2007

Effective Date

04/18/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008