SURENDRA B AVULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023172

License Status

EXPIRED

Business

First Name

SURENDRA B

Last Name

AVULA

Suffix

Business Name

SURENDRA B AVULA MD

Original Issue Date

09/29/1988

Effective Date

09/29/1988

Expiration Date

09/28/1991

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006