KALYANI VALLURUPALLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050356

License Status

CANCELLED

Business

First Name

KALYANI

Last Name

VALLURUPALLI

Suffix

Business Name

KALYANI VALLURUPALLI MD

Original Issue Date

06/28/2007

Effective Date

06/28/2007

Expiration Date

06/27/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/21/2007