RATNAM KOLLURU NOOKALA SANTOSHI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157561

License Status

NOT RENEWED

Business

Title

First Name

RATNAM

Middle

KOLLURU NOOKALA

Last Name

SANTOSHI

Business Name

RATNAM KOLLURU NOOKALA SANTOSHI MD

Original Issue Date

06/29/2021

Effective Date

06/29/2021

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023