SRINIVASARAO MALYALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057251

License Status

NOT RENEWED

Business

First Name

SRINIVASARAO

Last Name

MALYALA

Suffix

Business Name

SRINIVASARAO MALYALA MD

Original Issue Date

07/24/1978

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014