SITARAM VENKATA CHIVUKULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069341

License Status

EXPIRED

Business

Title

First Name

SITARAM

Middle

VENKATA

Last Name

CHIVUKULA

Business Name

SITARAM VENKATA CHIVUKULA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022