DEEPAK KUMAR MUMMIDAVARAPU JANAKI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051332

License Status

EXPIRED

Business

First Name

DEEPAK

Middle

KUMAR

Last Name

MUMMIDAVARAPU JANAKI

Suffix

Business Name

DEEPAK KUMAR MUMMIDAVARAPU JANAKI MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009