GORANTALA K CHOWDARY Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054195

License Status

INACTIVE

Business

First Name

GORANTALA K

Last Name

CHOWDARY

Business Name

GORANTALA K CHOWDARY

Original Issue Date

03/11/1977

Effective Date

03/11/1977

Expiration Date

07/31/1990

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006