MARY LOUIS MANAVALAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135299

License Status

NOT RENEWED

Business

Title

First Name

MARY

Middle

LOUIS

Last Name

MANAVALAN

Business Name

MARY LOUIS MANAVALAN MD

Original Issue Date

05/09/2014

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

SUNNYVALE

State

Zip

94087

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017