CHAITANYA K MAMILLAPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125425

License Status

ACTIVE

Business

Title

First Name

CHAITANYA

Middle

Last Name

MAMILLAPALLI

Business Name

CHAITANYA K MAMILLAPALLI MD

Original Issue Date

04/06/2010

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/30/2023