VENKAT RAGHAVAN TIRUMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118041

License Status

NOT RENEWED

Business

First Name

VENKAT

Middle

RAGHAVAN

Last Name

TIRUMALA

Suffix

Business Name

VENKAT RAGHAVAN TIRUMALA MD

Original Issue Date

04/04/2007

Effective Date

04/04/2007

Expiration Date

07/31/2008

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/06/2008