MADHAVI KAVIPURAPU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

MADHAVI

Last Name

KAVIPURAPU

Suffix

Business Name

MADHAVI KAVIPURAPU MD

Original Issue Date

01/12/2005

Effective Date

01/12/2005

Expiration Date

07/31/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008