PRUDHVI RAJAN KARUMANCHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050813

License Status

EXPIRED

Business

First Name

PRUDHVI

Middle

RAJAN

Last Name

KARUMANCHI

Suffix

Business Name

PRUDHVI RAJAN KARUMANCHI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

URBANA

State

Zip

61801

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/31/2011