VENKAT KONDAPALLY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053310

License Status

EXPIRED

Business

First Name

VENKAT

Last Name

KONDAPALLY

Business Name

VENKAT KONDAPALLY

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

06/25/2010

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/08/2010