SREENIVAS MANNAM - Medical Doctor License in Maryland | # 036091763

SREENIVAS MANNAM

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091763

License Status

INACTIVE

Business

N

First Name

SREENIVAS

Last Name

MANNAM

Business Name

SREENIVAS MANNAM

Original Issue Date

09/01/1995

Effective Date

09/01/1995

Expiration Date

07/31/1999

State

MD

Ever Disciplined

N

LastModifiedDate

09/20/2006