SRIRAMA SURYATEZ KATTULA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060850

License Status

EXPIRED

Business

First Name

SRIRAMA

Middle

SURYATEZ

Last Name

KATTULA

Business Name

SRIRAMA SURYATEZ KATTULA

Original Issue Date

06/11/2012

Effective Date

06/11/2012

Expiration Date

06/10/2015

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015