MADHAVI REDDY MANDALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114994

License Status

NOT RENEWED

Business

First Name

MADHAVI

Middle

REDDY

Last Name

MANDALA

Suffix

Business Name

MADHAVI REDDY MANDALA MD

Original Issue Date

12/14/2005

Effective Date

06/03/2008

Expiration Date

07/31/2011

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/14/2011