VIJAYA KUMAR MANGUNTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054314

License Status

INACTIVE

Business

First Name

VIJAYA KUMAR

Last Name

MANGUNTA

Suffix

Business Name

VIJAYA KUMAR MANGUNTA MD

Original Issue Date

03/14/1977

Effective Date

03/14/1977

Expiration Date

07/31/1987

City

INDIANAPOLIS

State

Zip

46204

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006