SWAROOPA RANI BUSSA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036908

License Status

CANCELLED

Business

First Name

SWAROOPA

Middle

RANI

Last Name

BUSSA

Suffix

Business Name

SWAROOPA RANI BUSSA MD

Original Issue Date

06/24/1997

Effective Date

06/24/1997

Expiration Date

01/01/2003

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006