APARVA SURYADEVARA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052181

License Status

EXPIRED

Business

First Name

APARVA

Last Name

SURYADEVARA

Business Name

APARVA SURYADEVARA

Original Issue Date

09/18/2006

Effective Date

09/18/2006

Expiration Date

09/17/2009

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/29/2009