VIJAYA LAKSHMI VELLANKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048764

License Status

EXPIRED

Business

First Name

VIJAYA

Middle

LAKSHMI

Last Name

VELLANKI

Suffix

Business Name

VIJAYA LAKSHMI VELLANKI MD

Original Issue Date

07/19/2004

Effective Date

07/19/2004

Expiration Date

07/18/2007

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/25/2007