SRINIVAS B MUKKAMALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033754

License Status

EXPIRED

Business

First Name

SRINIVAS

Middle

Last Name

MUKKAMALA

Business Name

SRINIVAS B MUKKAMALA

Original Issue Date

07/05/1995

Effective Date

07/05/1995

Expiration Date

07/04/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006