SRILATA RAMAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045056

License Status

CANCELLED

Business

First Name

SRILATA

Last Name

RAMAN

Suffix

Business Name

SRILATA RAMAN MD

Original Issue Date

06/26/2002

Effective Date

06/26/2002

Expiration Date

06/25/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006