SHRI V SUSARLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032729

License Status

EXPIRED

Business

First Name

SHRI

Middle

Last Name

SUSARLA

Business Name

SHRI V SUSARLA

Original Issue Date

05/25/1995

Effective Date

05/25/1995

Expiration Date

06/23/1998

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006