SRIRAM DARISETTY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055651

License Status

EXPIRED

Business

First Name

SRIRAM

Last Name

DARISETTY

Business Name

SRIRAM DARISETTY

Original Issue Date

06/16/2009

Effective Date

06/16/2009

Expiration Date

06/15/2012

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012