MADHAVI MADUGULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121987

License Status

NOT RENEWED

Business

Title

First Name

MADHAVI

Last Name

MADUGULA

Business Name

MADHAVI MADUGULA MD

Original Issue Date

09/23/2008

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021