SUGUNA D MADAIAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037153

License Status

EXPIRED

Business

First Name

SUGUNA

Middle

Last Name

MADAIAH

Business Name

SUGUNA D MADAIAH

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

07/20/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Occupational Medicine

Ever Disciplined

LastModifiedDate

09/22/2006