MAHENDER REDDY SURAKANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104997

License Status

NOT RENEWED

Business

First Name

MAHENDER

Middle

REDDY

Last Name

SURAKANTI

Suffix

Business Name

MAHENDER REDDY SURAKANTI MD

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

07/31/2005

City

FORTWAYNE

State

Zip

46814

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006