LAVANYA KOLLURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046968

License Status

EXPIRED

Business

First Name

LAVANYA

Last Name

KOLLURI

Suffix

Business Name

LAVANYA KOLLURI MD

Original Issue Date

06/30/2003

Effective Date

06/30/2003

Expiration Date

06/29/2006

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006