VAMSI KIRAN KODUMURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121338

License Status

NOT RENEWED

Business

First Name

VAMSI

Middle

KIRAN

Last Name

KODUMURI

Suffix

Business Name

VAMSI KIRAN KODUMURI MD

Original Issue Date

06/30/2008

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021