SURYA K NALLARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

SURYA K

Last Name

NALLARI

Suffix

Business Name

SURYA K NALLARI MD

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

07/31/1990

City

OAK FOREST

State

Zip

60452

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006