BOSEBABU MANDAVA MD - Medical Doctor License in California | # 036047984

BOSEBABU MANDAVA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047984

License Status

NOT RENEWED

Business

N

First Name

BOSEBABU

Last Name

MANDAVA

Suffix

MD

Business Name

BOSEBABU MANDAVA MD

Original Issue Date

08/23/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

CA

Ever Disciplined

N

LastModifiedDate

11/06/2008