DARSHINE VENUGOPAL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079898

License Status

CANCELLED

Business

Title

First Name

DARSHINE

Last Name

VENUGOPAL

Business Name

DARSHINE VENUGOPAL MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/17/2025