VENKATA RAMAKRISHNA KARTHIK MISSULA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073719

License Status

CANCELLED

Business

Title

First Name

VENKATA RAMAKRISHNA KARTHIK

Last Name

MISSULA

Business Name

VENKATA RAMAKRISHNA KARTHIK MISSULA MD

Original Issue Date

06/26/2019

Effective Date

06/26/2019

Expiration Date

06/25/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/06/2019