VENKATA S YELAMANCHILI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096633

License Status

ACTIVE

Business

First Name

VENKATA S

Last Name

YELAMANCHILI

Business Name

VENKATA S YELAMANCHILI

Original Issue Date

09/04/1997

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

07/06/2023