ANIL KUMAR V BHOGARAJU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035582

License Status

CANCELLED

Business

First Name

ANIL

Middle

KUMAR V

Last Name

BHOGARAJU

Suffix

Business Name

ANIL KUMAR V BHOGARAJU MD

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

01/01/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006