RAVICHANDRA A MADINENI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057261

License Status

EXPIRED

Business

First Name

RAVICHANDRA

Middle

Last Name

MADINENI

Suffix

Business Name

RAVICHANDRA A MADINENI MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Spine Fellowship

Ever Disciplined

LastModifiedDate

07/19/2011