SAVITHA SUSARLA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043039

License Status

EXPIRED

Business

First Name

SAVITHA

Last Name

SUSARLA

Suffix

Business Name

SAVITHA SUSARLA DO

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

09/30/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006