RATNA PRIYA KANUMURY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001042

License Status

ACTIVE

Business

First Name

RATNA

Middle

PRIYA

Last Name

KANUMURY

Business Name

RATNA PRIYA KANUMURY

Original Issue Date

04/01/1998

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

WILMETTE

State

Zip

60091

Ever Disciplined

LastModifiedDate

12/08/2025