SUJATHA KRISHNAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046945

License Status

EXPIRED

Business

First Name

SUJATHA

Last Name

KRISHNAN

Suffix

Business Name

SUJATHA KRISHNAN MD

Original Issue Date

06/25/2003

Effective Date

06/25/2003

Expiration Date

06/30/2006

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006