GAUTHAM KRISHNA MALLAMPATI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117165

License Status

INACTIVE

Business

First Name

GAUTHAM

Middle

KRISHNA

Last Name

MALLAMPATI

Suffix

Business Name

GAUTHAM KRISHNA MALLAMPATI MD

Original Issue Date

11/09/2006

Effective Date

06/19/2014

Expiration Date

07/31/2017

City

ATLANTA

State

Zip

30305

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/12/2017