SUMANA KODURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

CANCELLED

Business

First Name

SUMANA

Last Name

KODURI

Suffix

Business Name

SUMANA KODURI MD

Original Issue Date

08/06/1998

Effective Date

08/06/1998

Expiration Date

07/31/2002

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006