KALYANI S VANGALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159611

License Status

NOT RENEWED

Business

First Name

KALYANI

Middle

Last Name

VANGALA

Business Name

KALYANI S VANGALA

Original Issue Date

03/01/2022

Effective Date

03/01/2022

Expiration Date

07/31/2023

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/30/2023