RAJENDRA PRASAD TUMMALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040373

License Status

EXPIRED

Business

First Name

RAJENDRA

Middle

PRASAD

Last Name

TUMMALA

Suffix

Business Name

RAJENDRA PRASAD TUMMALA MD

Original Issue Date

07/02/1999

Effective Date

07/02/1999

Expiration Date

07/01/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006