SAMBAMURTY KALAHASTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055660

License Status

NOT RENEWED

Business

First Name

SAMBAMURTY

Last Name

KALAHASTY

Suffix

Business Name

SAMBAMURTY KALAHASTY MD

Original Issue Date

12/09/1976

Effective Date

12/09/1976

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006