KALYANA CHAKRAVARTHI LAVU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034581

License Status

EXPIRED

Business

First Name

KALYANA

Middle

CHAKRAVARTHI

Last Name

LAVU

Suffix

Business Name

KALYANA CHAKRAVARTHI LAVU MD

Original Issue Date

05/21/1996

Effective Date

05/21/1996

Expiration Date

06/25/1999

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006