TRINADHA RAO PILLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057072

License Status

CANCELLED

Business

Title

First Name

TRINADHA

Middle

RAO

Last Name

PILLA

Business Name

TRINADHA RAO PILLA MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine/Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014