ANUVESHA SAMALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057109

License Status

EXPIRED

Business

Title

First Name

ANUVESHA

Last Name

SAMALA

Business Name

ANUVESHA SAMALA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CUMMING

State

Zip

30040

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012