VIJAYALAKSHMI MUKKAMALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137372

License Status

ACTIVE

Business

Title

First Name

VIJAYALAKSHMI

Last Name

MUKKAMALLA

Business Name

VIJAYALAKSHMI MUKKAMALLA MD

Original Issue Date

02/20/2015

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

06/15/2023