BALA MURALI KRIS CHENNUPATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030820

License Status

EXPIRED

Business

First Name

BALA MURALI KRIS

Last Name

CHENNUPATI

Suffix

Business Name

BALA MURALI KRIS CHENNUPATI MD

Original Issue Date

03/01/1994

Effective Date

03/01/1994

Expiration Date

02/22/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006