SHANTI S YERRA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094536

License Status

NOT RENEWED

Business

First Name

SHANTI S

Last Name

YERRA

Business Name

SHANTI S YERRA

Original Issue Date

11/19/1996

Effective Date

11/19/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006