PADMAVATHI V PAGADALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099463

License Status

NOT RENEWED

Business

First Name

PADMAVATHI

Middle

Last Name

PAGADALA

Business Name

PADMAVATHI V PAGADALA

Original Issue Date

01/05/1999

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021