UMAKANTH AVULA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069108

License Status

CANCELLED

Business

Title

First Name

UMAKANTH

Last Name

AVULA

Business Name

UMAKANTH AVULA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

06/10/2019