GNANESWARA V MIDATHALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092506

License Status

ACTIVE

Business

Title

First Name

GNANESWARA V

Last Name

MIDATHALA

Business Name

GNANESWARA V MIDATHALA MD

Original Issue Date

03/12/1996

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PALM HARBOR

State

Zip

34683

Ever Disciplined

LastModifiedDate

06/02/2023