SOUJANYA NUTHAKKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052113

License Status

EXPIRED

Business

First Name

SOUJANYA

Last Name

NUTHAKKI

Suffix

Business Name

SOUJANYA NUTHAKKI MD

Original Issue Date

07/05/2006

Effective Date

07/05/2006

Expiration Date

07/04/2008

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

07/31/2008