SUSHMITA NALLAMOTHU PRATHIPATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132132

License Status

ACTIVE

Business

Title

First Name

SUSHMITA

Middle

NALLAMOTHU

Last Name

PRATHIPATI

Business Name

SUSHMITA NALLAMOTHU PRATHIPATI MD

Original Issue Date

03/27/2013

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

OTTAWA

State

Zip

61350

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2023