MALATHI PILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062047

License Status

EXPIRED

Business

First Name

MALATHI

Last Name

PILLA

Suffix

Business Name

MALATHI PILLA MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2016

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

08/16/2016