SRILATHA MULAMALLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064799

License Status

CANCELLED

Business

Title

First Name

SRILATHA

Last Name

MULAMALLA

Business Name

SRILATHA MULAMALLA MD

Original Issue Date

06/09/2017

Effective Date

06/09/2017

Expiration Date

08/20/2017

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/16/2017