SUBRAMANYA SAKALESHPURA MALLIKARJUNAPPA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072796

License Status

EXPIRED

Business

Title

First Name

SUBRAMANYA

Last Name

SAKALESHPURA MALLIKARJUNAPPA

Business Name

SUBRAMANYA SAKALESHPURA MALLIKARJUNAPPA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

10/11/2022