TEJASWI SUMA DITTAKAVI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157713

License Status

NOT RENEWED

Business

Title

First Name

TEJASWI

Middle

SUMA

Last Name

DITTAKAVI

Business Name

TEJASWI SUMA DITTAKAVI DO

Original Issue Date

07/16/2021

Effective Date

07/16/2021

Expiration Date

07/31/2023

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023