MANJARI UPPU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076519

License Status

CANCELLED

Business

Title

First Name

MANJARI

Last Name

UPPU

Business Name

MANJARI UPPU MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

07/31/2024

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/20/2023