SREELATHA POTTALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127219

License Status

NOT RENEWED

Business

First Name

SREELATHA

Last Name

POTTALA

Suffix

Business Name

SREELATHA POTTALA MD

Original Issue Date

02/22/2011

Effective Date

04/19/2011

Expiration Date

07/31/2014

City

MOUNTAIN HOUSE

State

Zip

95391

Ever Disciplined

LastModifiedDate

11/17/2014