BHARATH KONDAPAVULURI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076486

License Status

EXPIRED

Business

Title

First Name

BHARATH

Last Name

KONDAPAVULURI

Business Name

BHARATH KONDAPAVULURI MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

10/30/2024