DEEPIKA BUCHUPALLI MD - Medical Doctor License in Illinois | # 125047601

DEEPIKA BUCHUPALLI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047601

License Status

EXPIRED

Business

N

Title

MD

First Name

DEEPIKA

Last Name

BUCHUPALLI

Business Name

DEEPIKA BUCHUPALLI MD

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007