CHANDRASEKHAR PRAPHULLA UPPUTURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108464

License Status

NOT RENEWED

Business

First Name

CHANDRASEKHAR

Middle

PRAPHULLA

Last Name

UPPUTURI

Suffix

Business Name

CHANDRASEKHAR PRAPHULLA UPPUTURI MD

Original Issue Date

01/22/2003

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

01/14/2021