VIVEK REDDY MALLADI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054286

License Status

CANCELLED

Business

Title

First Name

VIVEK

Middle

REDDY

Last Name

MALLADI

Business Name

VIVEK REDDY MALLADI MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

GILBERT

State

Zip

85297

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/14/2008