KALLURI KRISHNA KISHORE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103114

License Status

NOT RENEWED

Business

First Name

KALLURI

Middle

KRISHNA

Last Name

KISHORE

Suffix

Business Name

KALLURI KRISHNA KISHORE MD

Original Issue Date

07/19/2000

Effective Date

05/02/2014

Expiration Date

07/31/2017

City

MODESTO

State

Zip

95355

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017