NIRUPAMA VALLALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110579

License Status

NOT RENEWED

Business

First Name

NIRUPAMA

Last Name

VALLALA

Suffix

Business Name

NIRUPAMA VALLALA MD

Original Issue Date

12/12/2003

Effective Date

01/28/2021

Expiration Date

05/31/2021

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/15/2023