VITTAL V CHAPA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052159

License Status

ACTIVE

Business

First Name

VITTAL V

Last Name

CHAPA

Business Name

VITTAL V CHAPA

Original Issue Date

11/14/1975

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

04/09/2023