SRIJAN VALASAPALLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075285

License Status

EXPIRED

Business

Title

First Name

SRIJAN

Last Name

VALASAPALLI

Business Name

SRIJAN VALASAPALLI MD

Original Issue Date

07/05/2019

Effective Date

07/05/2019

Expiration Date

07/04/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022