SIRISHA SUNDARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047110

License Status

NOT RENEWED

Business

First Name

SIRISHA

Last Name

SUNDARA

Suffix

Business Name

SIRISHA SUNDARA MD

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

09/23/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/03/2006