KALYANA CHAKRAVARTHI LAVU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100309

License Status

INACTIVE

Business

First Name

KALYANA

Middle

CHAKRAVARTHI

Last Name

LAVU

Suffix

Business Name

KALYANA CHAKRAVARTHI LAVU MD

Original Issue Date

06/10/1999

Effective Date

06/10/1999

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/23/2007