SUDHAKAR VENKATA MALLELA - Medical Doctor License in Pennsylvania | # 036093779

SUDHAKAR VENKATA MALLELA

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093779

License Status

INACTIVE

Business

N

First Name

SUDHAKAR VENKATA

Last Name

MALLELA

Business Name

SUDHAKAR VENKATA MALLELA

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/1999

State

PA

Ever Disciplined

N

LastModifiedDate

03/27/2014