CHAITANYA KRISHNA KOTAGIRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054995

License Status

EXPIRED

Business

Title

First Name

CHAITANYA

Middle

KRISHNA

Last Name

KOTAGIRI

Business Name

CHAITANYA KRISHNA KOTAGIRI MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/19/2011