SHANTI S YERRA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032373

License Status

EXPIRED

Business

First Name

SHANTI S

Last Name

YERRA

Business Name

SHANTI S YERRA

Original Issue Date

10/17/1994

Effective Date

10/17/1994

Expiration Date

10/15/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006