VENU MADHAV MADHIPATLA MD - Medical Doctor License in Georgia | # 036113728

VENU MADHAV MADHIPATLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113728

License Status

NOT RENEWED

Business

N

First Name

VENU

Middle

MADHAV

Last Name

MADHIPATLA

Suffix

MD

Business Name

VENU MADHAV MADHIPATLA MD

Original Issue Date

05/20/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

GA

Ever Disciplined

N

LastModifiedDate

10/14/2009