SUPRIYA RAINA HUKKU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128898

License Status

NOT RENEWED

Business

Title

First Name

SUPRIYA

Middle

RAINA

Last Name

HUKKU

Business Name

SUPRIYA RAINA HUKKU MD

Original Issue Date

08/31/2011

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021