SUSHMA SURAPANENI ANAND DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057651

License Status

CANCELLED

Business

Title

First Name

SUSHMA

Middle

SURAPANENI

Last Name

ANAND

Business Name

SUSHMA SURAPANENI ANAND DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

11/19/2012