SHAILAJA JAMMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048845

License Status

EXPIRED

Business

First Name

SHAILAJA

Last Name

JAMMA

Suffix

Business Name

SHAILAJA JAMMA MD

Original Issue Date

01/04/2005

Effective Date

01/04/2005

Expiration Date

01/03/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/12/2008