ANUSHA MANGALAMPALLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072826

License Status

EXPIRED

Business

Title

First Name

ANUSHA

Last Name

MANGALAMPALLI

Business Name

ANUSHA MANGALAMPALLI MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

10/11/2022