SRINIVAS TUMMALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000399

License Status

EXPIRED

Business

First Name

SRINIVAS

Last Name

TUMMALA

Suffix

Business Name

SRINIVAS TUMMALA MD

Original Issue Date

03/25/1998

Effective Date

03/25/1998

Expiration Date

11/14/1998

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Radiology

Ever Disciplined

LastModifiedDate

09/25/2006