VAMSI KRISHNA EMANI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132998

License Status

INACTIVE

Business

Title

First Name

VAMSI

Middle

KRISHNA

Last Name

EMANI

Business Name

VAMSI KRISHNA EMANI MD

Original Issue Date

05/17/2013

Effective Date

07/13/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

04/05/2020