MANJU BENGALURU JAYANNA MD - Medical Doctor License in Pennsylvania | # 036135404

MANJU BENGALURU JAYANNA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135404

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MANJU

Last Name

BENGALURU JAYANNA

Business Name

MANJU BENGALURU JAYANNA MD

Original Issue Date

06/02/2014

Effective Date

06/02/2014

Expiration Date

07/31/2017

State

PA

Ever Disciplined

N

LastModifiedDate

11/01/2017