MADHUSUDAN VALLALA MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003100

License Status

NOT RENEWED

Business

Business Name

MADHUSUDAN VALLALA MD SC

Original Issue Date

09/30/1977

Effective Date

10/22/2013

Expiration Date

01/01/2015

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/04/2015