SHIVAPRASAD MARULENDRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141750

License Status

ACTIVE

Business

Title

First Name

SHIVAPRASAD

Last Name

MARULENDRA

Business Name

SHIVAPRASAD MARULENDRA MD

Original Issue Date

09/22/2016

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/08/2023