VENKATA GANGADHAR TILAK KADA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053634

License Status

EXPIRED

Business

Title

First Name

VENKATA

Middle

GANGADHAR TILAK

Last Name

KADA

Business Name

VENKATA GANGADHAR TILAK KADA MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010