NISHITHA CHERUKUMALLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066248

License Status

CANCELLED

Business

Title

First Name

NISHITHA

Last Name

CHERUKUMALLI

Business Name

NISHITHA CHERUKUMALLI MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/29/2015