RAJA KUMARI VAIDADI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061196

License Status

CANCELLED

Business

Title

First Name

RAJA

Middle

KUMARI

Last Name

VAIDADI

Business Name

RAJA KUMARI VAIDADI MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

HERRIN

State

Zip

62948

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014