SUDHA REDDY MUTHEKEPALLI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040033

License Status

EXPIRED

Business

First Name

SUDHA

Middle

REDDY

Last Name

MUTHEKEPALLI

Business Name

SUDHA REDDY MUTHEKEPALLI

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006