SUMA POKALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016478

License Status

EXPIRED

Business

First Name

SUMA

Last Name

POKALA

Suffix

Business Name

SUMA POKALA MD

Original Issue Date

03/08/1984

Effective Date

03/08/1984

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006