SUMAN NALLURI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049831

License Status

EXPIRED

Business

First Name

SUMAN

Last Name

NALLURI

Business Name

SUMAN NALLURI

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

07/15/2009