PADMALATHA K COLLAPPAKKAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000332

License Status

EXPIRED

Business

Title

First Name

PADMALATHA

Middle

Last Name

COLLAPPAKKAM

Business Name

PADMALATHA K COLLAPPAKKAM MD

Original Issue Date

08/01/2008

Effective Date

08/01/2008

Expiration Date

08/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/05/2008