SUNITHA GUBBALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039151

License Status

EXPIRED

Business

First Name

SUNITHA

Last Name

GUBBALA

Suffix

Business Name

SUNITHA GUBBALA MD

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

08/29/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006