VIJAY KUMAR DAMARLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146175

License Status

ACTIVE

Business

Title

First Name

VIJAY

Middle

KUMAR

Last Name

DAMARLA

Business Name

VIJAY KUMAR DAMARLA MD

Original Issue Date

05/16/2018

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

06/03/2023