SHRUTI SAMHITA ERRAMILLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

SHRUTI

Middle

SAMHITA

Last Name

ERRAMILLI

Business Name

SHRUTI SAMHITA ERRAMILLI MD

Original Issue Date

05/07/2021

Effective Date

05/07/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023