RAVIPRASAD VS KANAKAMEDALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067836

License Status

INACTIVE

Business

First Name

RAVIPRASAD VS

Last Name

KANAKAMEDALA

Suffix

Business Name

RAVIPRASAD VS KANAKAMEDALA MD

Original Issue Date

10/26/1983

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

05/05/2008