NARAYANA SWAMY MAMILLAPALLI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051458

License Status

CANCELLED

Business

First Name

NARAYANA

Middle

SWAMY

Last Name

MAMILLAPALLI

Suffix

Business Name

NARAYANA SWAMY MAMILLAPALLI MD

Original Issue Date

06/25/2006

Effective Date

06/25/2006

Expiration Date

06/24/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006