MOHAN VENKATARATNA TADIKONDA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107695

License Status

INACTIVE

Business

First Name

MOHAN

Middle

VENKATARATNA

Last Name

TADIKONDA

Suffix

Business Name

MOHAN VENKATARATNA TADIKONDA MD

Original Issue Date

08/19/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LONG BEACH

State

Zip

90806

Ever Disciplined

LastModifiedDate

06/24/2008