VIJAYA L KUCHIPUDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024598

License Status

EXPIRED

Business

First Name

VIJAYA L

Last Name

KUCHIPUDI

Suffix

Business Name

VIJAYA L KUCHIPUDI MD

Original Issue Date

12/26/1989

Effective Date

12/26/1989

Expiration Date

02/14/1994

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006