RAMAIAH SAMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052171

License Status

NOT RENEWED

Business

First Name

RAMAIAH

Last Name

SAMALA

Suffix

Business Name

RAMAIAH SAMALA MD

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006