MADHU BUKKASAGARA VIJAYAPPA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048893

License Status

CANCELLED

Business

First Name

MADHU

Middle

BUKKASAGARA

Last Name

VIJAYAPPA

Suffix

Business Name

MADHU BUKKASAGARA VIJAYAPPA MD

Original Issue Date

07/17/2008

Effective Date

07/17/2008

Expiration Date

07/16/2009

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

06/04/2008