SOUJANYA RAO PULLURU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043769

License Status

CANCELLED

Business

Title

First Name

SOUJANYA

Middle

RAO

Last Name

PULLURU

Business Name

SOUJANYA RAO PULLURU MD

Original Issue Date

08/13/2001

Effective Date

08/13/2001

Expiration Date

08/12/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006