SUMA DRONAVALLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047212

License Status

CANCELLED

Business

First Name

SUMA

Last Name

DRONAVALLI

Suffix

Business Name

SUMA DRONAVALLI MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006