SIVARAMA K MEDURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057963

License Status

NOT RENEWED

Business

First Name

SIVARAMA K

Last Name

MEDURI

Suffix

Business Name

SIVARAMA K MEDURI MD

Original Issue Date

10/23/1978

Effective Date

10/23/1978

Expiration Date

07/31/1990

City

DALTON

State

Zip

30720

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006