VIDYA MADALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061918

License Status

INACTIVE

Business

First Name

VIDYA

Last Name

MADALA

Suffix

Business Name

VIDYA MADALA MD

Original Issue Date

04/02/1981

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

ORLANDO

State

Zip

32827

Ever Disciplined

LastModifiedDate

04/09/2023