PALLAVI R CHERUKUPALLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105845

License Status

ACTIVE

Business

First Name

PALLAVI

Middle

Last Name

CHERUKUPALLY

Suffix

Business Name

PALLAVI R CHERUKUPALLY MD

Original Issue Date

11/15/2001

Effective Date

12/09/2024

Expiration Date

07/31/2026

City

JACKSONVILLE BEACH

State

Zip

32250

Ever Disciplined

LastModifiedDate

12/09/2024