RADHA KRISHNARAO VEGUNTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060362

License Status

EXPIRED

Business

Title

First Name

RADHA

Middle

KRISHNARAO

Last Name

VEGUNTA

Business Name

RADHA KRISHNARAO VEGUNTA MD

Original Issue Date

08/01/2011

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015