VENU MADHAV MADHIPATLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113728

License Status

NOT RENEWED

Business

First Name

VENU

Middle

MADHAV

Last Name

MADHIPATLA

Suffix

Business Name

VENU MADHAV MADHIPATLA MD

Original Issue Date

05/20/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DECATUR

State

Zip

30032

County

DEKALB

Ever Disciplined

LastModifiedDate

10/14/2009