BALAJI VENKAT DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126781

License Status

INACTIVE

Business

First Name

BALAJI

Last Name

VENKAT

Suffix

Business Name

BALAJI VENKAT DO

Original Issue Date

10/21/2010

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

SAN JOSE

State

Zip

95138

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

06/28/2014