SUSHMA CHINNI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070018

License Status

CANCELLED

Business

Title

First Name

SUSHMA

Last Name

CHINNI

Prefix

Business Name

SUSHMA CHINNI DO

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/02/2017