THOMAS J MUKKADA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073674

License Status

INACTIVE

Business

First Name

THOMAS J

Last Name

MUKKADA

Suffix

Business Name

THOMAS J MUKKADA MD

Original Issue Date

09/08/1986

Effective Date

09/08/1986

Expiration Date

07/31/2002

City

OTTUMWA

State

Zip

52501

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006