SATYANARAYANA R MUKKERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130129

License Status

NOT RENEWED

Business

Title

First Name

SATYANARAYANA

Middle

Last Name

MUKKERA

Business Name

SATYANARAYANA R MUKKERA MD

Original Issue Date

04/18/2012

Effective Date

06/06/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021