THOMAS J MUKKADA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019021

License Status

EXPIRED

Business

First Name

THOMAS J

Last Name

MUKKADA

Suffix

Business Name

THOMAS J MUKKADA MD

Original Issue Date

09/27/1985

Effective Date

09/27/1985

Expiration Date

07/01/1988

City

OAK FOREST

State

Zip

60452

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

09/22/2006