SUSHMITA NALLAMOTHU PRATHIPATI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058229

License Status

CANCELLED

Business

Title

First Name

SUSHMITA

Middle

NALLAMOTHU

Last Name

PRATHIPATI

Business Name

SUSHMITA NALLAMOTHU PRATHIPATI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

OTTAWA

State

Zip

61350

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/28/2010