MYTHILY MEDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047743

License Status

CANCELLED

Business

First Name

MYTHILY

Last Name

MEDA

Suffix

Business Name

MYTHILY MEDA MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

12/31/2007

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2007