SUDARSHAN K KOMANAPALLI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081585

License Status

INACTIVE

Business

First Name

SUDARSHAN K

Last Name

KOMANAPALLI

Suffix

Business Name

SUDARSHAN K KOMANAPALLI MD

Original Issue Date

10/02/1990

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

MUNCIE

State

Zip

47303

County

INDIANA

Ever Disciplined

LastModifiedDate

05/06/2023