SRINIVASA R KAKUMANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123871

License Status

ACTIVE

Business

First Name

SRINIVASA

Middle

Last Name

KAKUMANI

Suffix

Business Name

SRINIVASA R KAKUMANI MD

Original Issue Date

06/30/2009

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/09/2023