NAMRATA GAJJALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086371

License Status

ACTIVE

Business

Title

First Name

NAMRATA

Last Name

GAJJALA

Business Name

NAMRATA GAJJALA MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/06/2025