KRIPAKARAN M PUVALAI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037019

License Status

EXPIRED

Business

First Name

KRIPAKARAN

Middle

Last Name

PUVALAI

Suffix

Business Name

KRIPAKARAN M PUVALAI MD

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/26/2000

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006