CHAITRA CHANNAPPA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000355

License Status

EXPIRED

Business

Title

First Name

CHAITRA

Last Name

CHANNAPPA

Business Name

CHAITRA CHANNAPPA MD

Original Issue Date

10/01/2008

Effective Date

10/01/2008

Expiration Date

10/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/05/2008