SURJIT REDDY MOOLAMALLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108591

License Status

INACTIVE

Business

First Name

SURJIT

Middle

REDDY

Last Name

MOOLAMALLA

Suffix

Business Name

SURJIT REDDY MOOLAMALLA MD

Original Issue Date

02/14/2003

Effective Date

02/14/2003

Expiration Date

07/31/2005

City

MONTICELLO

State

Zip

47960

County

INDIANA

Ever Disciplined

LastModifiedDate

03/24/2010