SURYA KIRAN AEDMA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074673

License Status

EXPIRED

Business

Title

First Name

SURYA

Middle

KIRAN

Last Name

AEDMA

Business Name

SURYA KIRAN AEDMA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022