SUDHI PULLAT KURUP MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055757

License Status

CANCELLED

Business

Title

First Name

SUDHI

Middle

PULLAT

Last Name

KURUP

Business Name

SUDHI PULLAT KURUP MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

04/27/2009