SRIDEVI KORITALA MD - Medical Doctor License in Wisconsin | # 036099079

SRIDEVI KORITALA MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099079

License Status

INACTIVE

Business

N

First Name

SRIDEVI

Last Name

KORITALA

Suffix

MD

Business Name

SRIDEVI KORITALA MD

Original Issue Date

09/22/1998

Effective Date

09/22/1998

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006