SUJITHA SREE KETINENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156940

License Status

ACTIVE

Business

Title

First Name

SUJITHA

Middle

SREE

Last Name

KETINENI

Business Name

SUJITHA SREE KETINENI MD

Original Issue Date

05/13/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/06/2023