MEGHA ADUSUMALLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072939

License Status

CANCELLED

Business

Title

First Name

MEGHA

Last Name

ADUSUMALLI

Business Name

MEGHA ADUSUMALLI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/08/2018