ANITHA SRINIVASA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032407

License Status

EXPIRED

Business

First Name

ANITHA

Last Name

SRINIVASA

Suffix

Business Name

ANITHA SRINIVASA MD

Original Issue Date

03/10/1995

Effective Date

03/10/1995

Expiration Date

06/30/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006