LOVENDER K RAJU Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045449

License Status

EXPIRED

Business

First Name

LOVENDER

Middle

Last Name

RAJU

Business Name

LOVENDER K RAJU

Original Issue Date

10/15/2002

Effective Date

10/15/2002

Expiration Date

10/14/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006