MANAS UPADHYAYA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062320

License Status

EXPIRED

Business

Title

First Name

MANAS

Last Name

UPADHYAYA

Business Name

MANAS UPADHYAYA MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2016

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

08/16/2016