KALYANI GAVINI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045424

License Status

EXPIRED

Business

First Name

KALYANI

Last Name

GAVINI

Suffix

Business Name

KALYANI GAVINI MD

Original Issue Date

08/15/2002

Effective Date

08/15/2002

Expiration Date

08/14/2005

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006