SOWMYA GAVIYAPPA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078152

License Status

CANCELLED

Business

Title

First Name

SOWMYA

Last Name

GAVIYAPPA

Business Name

SOWMYA GAVIYAPPA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/31/2022