NARAYANA SWAMY MAMILLAPALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123341

License Status

NOT RENEWED

Business

First Name

NARAYANA

Middle

SWAMY

Last Name

MAMILLAPALLI

Suffix

Business Name

NARAYANA SWAMY MAMILLAPALLI MD

Original Issue Date

05/05/2009

Effective Date

05/05/2009

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011