RAJU AMAREGOUDA PATIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050205

License Status

EXPIRED

Business

First Name

RAJU

Middle

AMAREGOUDA

Last Name

PATIL

Suffix

Business Name

RAJU AMAREGOUDA PATIL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008