SOUJANYA R TUMMURU DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****55

ACTIVE

N

DO

SOUJANYA

R

TUMMURU

SOUJANYA R TUMMURU DO

07/09/2012

05/27/2023

07/31/2026

PARK RIDGE

IL

60068

COOK

PRACTITIONER

II III IV V

N

05/27/2023