TANGELLA V KRISHNARAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108746

License Status

ACTIVE

Business

First Name

TANGELLA

Middle

Last Name

KRISHNARAO

Suffix

Business Name

TANGELLA V KRISHNARAO MD

Original Issue Date

03/11/2003

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/20/2023