KAVITHA KALVAKURI-MEDURU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056355

License Status

CANCELLED

Business

Title

First Name

KAVITHA

Last Name

KALVAKURI-MEDURU

Business Name

KAVITHA KALVAKURI-MEDURU MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/29/2010