POONAM VELAGAPUDI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055454

License Status

EXPIRED

Business

Title

First Name

POONAM

Last Name

VELAGAPUDI

Business Name

POONAM VELAGAPUDI MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

08/30/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2018