ANURADHA KANTAMNENI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042214

License Status

EXPIRED

Business

First Name

ANURADHA

Last Name

KANTAMNENI

Suffix

Business Name

ANURADHA KANTAMNENI MD

Original Issue Date

07/11/2001

Effective Date

07/11/2001

Expiration Date

07/10/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006