BOSEBABU MANDAVA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047984

License Status

NOT RENEWED

Business

First Name

BOSEBABU

Last Name

MANDAVA

Suffix

Business Name

BOSEBABU MANDAVA MD

Original Issue Date

08/23/1973

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CAMARILLO

State

Zip

93012

Ever Disciplined

LastModifiedDate

11/06/2008