GHURULAKSHMI MOORTHY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061906

License Status

EXPIRED

Business

First Name

GHURULAKSHMI

Last Name

MOORTHY

Business Name

GHURULAKSHMI MOORTHY

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015