SIRESHA K SAMUDRALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038159

License Status

EXPIRED

Business

First Name

SIRESHA

Middle

Last Name

SAMUDRALA

Suffix

Business Name

SIRESHA K SAMUDRALA MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

07/25/2002

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006