SHASHIKALA AMENENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106418

License Status

NOT RENEWED

Business

First Name

SHASHIKALA

Last Name

AMENENI

Suffix

Business Name

SHASHIKALA AMENENI MD

Original Issue Date

03/04/2002

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

MESA

State

Zip

85205

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017