AMITKUMAR S UPADHYAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050336

License Status

CANCELLED

Business

First Name

AMITKUMAR

Middle

Last Name

UPADHYAY

Suffix

Business Name

AMITKUMAR S UPADHYAY MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006