PRASANTHI TUMMURU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

PRASANTHI

Last Name

TUMMURU

Business Name

PRASANTHI TUMMURU MD

Original Issue Date

09/05/2013

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020