SOUJANYA R TUMMURU DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130282

License Status

ACTIVE

Business

Title

First Name

SOUJANYA

Middle

Last Name

TUMMURU

Business Name

SOUJANYA R TUMMURU DO

Original Issue Date

05/08/2012

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/25/2023