MOHAN MALLAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067819

License Status

INACTIVE

Business

First Name

MOHAN

Last Name

MALLAM

Suffix

Business Name

MOHAN MALLAM MD

Original Issue Date

10/13/1983

Effective Date

10/13/1983

Expiration Date

07/31/1987

City

BARSTOW

State

Zip

92311

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006