LATHA SUNILKUMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061404

License Status

EXPIRED

Business

Title

First Name

LATHA

Last Name

SUNILKUMAR

Business Name

LATHA SUNILKUMAR MD

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