SUPRITHA POTTUMARTHI PRASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170014

License Status

ACTIVE

Business

Title

First Name

SUPRITHA

Middle

POTTUMARTHI

Last Name

PRASAD

Business Name

SUPRITHA POTTUMARTHI PRASAD MD

Original Issue Date

04/25/2024

Effective Date

04/25/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2024