SOWMYA KRUTTIVENTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001606

License Status

EXPIRED

Business

Title

First Name

SOWMYA

Last Name

KRUTTIVENTI

Business Name

SOWMYA KRUTTIVENTI MD

Original Issue Date

04/01/2024

Effective Date

04/01/2024

Expiration Date

04/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

01/08/2025