SUBHAKAR GUMMADI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033141

License Status

EXPIRED

Business

First Name

SUBHAKAR

Last Name

GUMMADI

Business Name

SUBHAKAR GUMMADI

Original Issue Date

06/07/1995

Effective Date

06/07/1995

Expiration Date

06/26/1998

City

MELROSE PARK

State

Zip

60162

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006