GANGADHAR RAO MALASANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138196

License Status

NOT RENEWED

Business

Title

First Name

GANGADHAR

Middle

RAO

Last Name

MALASANA

Business Name

GANGADHAR RAO MALASANA MD

Original Issue Date

06/08/2015

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/30/2023