SUJITHA SREE KETINENI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071938

License Status

CANCELLED

Business

Title

First Name

SUJITHA

Middle

SREE

Last Name

KETINENI

Business Name

SUJITHA SREE KETINENI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/11/2018