SIVA RAMA KRISHNA CHEETIRALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069245

License Status

EXPIRED

Business

Title

First Name

SIVA

Middle

RAMA KRISHNA

Last Name

CHEETIRALA

Business Name

SIVA RAMA KRISHNA CHEETIRALA MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/02/2019