SOBHANA KRISHNA POTLURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076621

License Status

CANCELLED

Business

Title

First Name

SOBHANA

Middle

KRISHNA

Last Name

POTLURI

Business Name

SOBHANA KRISHNA POTLURI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2020