VENTRAPRAGADA S MOHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056737

License Status

NOT RENEWED

Business

First Name

VENTRAPRAGADA S

Last Name

MOHAN

Suffix

Business Name

VENTRAPRAGADA S MOHAN MD

Original Issue Date

05/19/1978

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021