SUSHMA KONERU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120390

License Status

NOT RENEWED

Business

First Name

SUSHMA

Last Name

KONERU

Suffix

Business Name

SUSHMA KONERU MD

Original Issue Date

04/02/2008

Effective Date

04/02/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011