SRIPATHI R KETHU Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099468

License Status

INACTIVE

Business

First Name

SRIPATHI

Middle

Last Name

KETHU

Business Name

SRIPATHI R KETHU

Original Issue Date

01/06/1999

Effective Date

01/06/1999

Expiration Date

07/31/2002

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

02/23/2007