ANAND VENKAT MANTRAVADI MD - Medical Doctor License in Pennsylvania | # 036119971

ANAND VENKAT MANTRAVADI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119971

License Status

NOT RENEWED

Business

N

First Name

ANAND

Middle

VENKAT

Last Name

MANTRAVADI

Suffix

MD

Business Name

ANAND VENKAT MANTRAVADI MD

Original Issue Date

01/16/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

PA

Ever Disciplined

N

LastModifiedDate

11/14/2011