TRIVENI ABBURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059558

License Status

EXPIRED

Business

Title

First Name

TRIVENI

Last Name

ABBURI

Business Name

TRIVENI ABBURI MD

Original Issue Date

07/18/2011

Effective Date

07/18/2011

Expiration Date

07/17/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015