SUPRIYA RAINA HUKKU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

Title

First Name

SUPRIYA

Middle

RAINA

Last Name

HUKKU

Business Name

SUPRIYA RAINA HUKKU MD

Original Issue Date

10/18/2011

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

ZION

State

Zip

60099

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021