ANITHA SRINIVASA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094605

License Status

NOT RENEWED

Business

First Name

ANITHA

Last Name

SRINIVASA

Suffix

Business Name

ANITHA SRINIVASA MD

Original Issue Date

12/09/1996

Effective Date

12/09/1996

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006