MALLIKARJUN PATTA MD - Medical Doctor License in Missouri | # 036096890

MALLIKARJUN PATTA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096890

License Status

NOT RENEWED

Business

N

First Name

MALLIKARJUN

Last Name

PATTA

Suffix

MD

Business Name

MALLIKARJUN PATTA MD

Original Issue Date

10/23/1997

Effective Date

10/23/1997

Expiration Date

07/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006