SRIPATHI R KETHU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034321

License Status

EXPIRED

Business

First Name

SRIPATHI

Middle

Last Name

KETHU

Business Name

SRIPATHI R KETHU

Original Issue Date

05/13/1996

Effective Date

05/13/1996

Expiration Date

05/31/1999

City

URBANA

State

Zip

61801

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006