ASHOK R MALLYA MD - Medical Doctor License in Missouri | # 036063619

ASHOK R MALLYA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063619

License Status

INACTIVE

Business

N

First Name

ASHOK R

Last Name

MALLYA

Suffix

MD

Business Name

ASHOK R MALLYA MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

10/05/2006