VIREN R VANKAWALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110521

License Status

NOT RENEWED

Business

First Name

VIREN

Middle

Last Name

VANKAWALA

Business Name

VIREN R VANKAWALA

Original Issue Date

12/02/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/06/2008