KARTIK AGUSALA - Medical Doctor License in Illinois | # 125054667

KARTIK AGUSALA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054667

License Status

EXPIRED

Business

N

First Name

KARTIK

Last Name

AGUSALA

Business Name

KARTIK AGUSALA

Original Issue Date

06/23/2008

Effective Date

06/23/2008

Expiration Date

06/22/2011

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/19/2011