MANOJKUMAR PILLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066798

License Status

EXPIRED

Business

Title

First Name

MANOJKUMAR

Last Name

PILLA

Business Name

MANOJKUMAR PILLA MD

Original Issue Date

07/27/2015

Effective Date

07/27/2015

Expiration Date

07/26/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/04/2018