SOUMYASRI KAMBHATLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069809

License Status

CANCELLED

Business

Title

First Name

SOUMYASRI

Last Name

KAMBHATLA

Business Name

SOUMYASRI KAMBHATLA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/27/2017