KISHORE MAGANTY MD - Medical Doctor License in Missouri | # 125047710

KISHORE MAGANTY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047710

License Status

EXPIRED

Business

N

First Name

KISHORE

Last Name

MAGANTY

Suffix

MD

Business Name

KISHORE MAGANTY MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

State

MO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/03/2007