MELLEKATE S VISHWAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143075

License Status

NOT RENEWED

Business

Title

First Name

MELLEKATE

Middle

Last Name

VISHWAS

Business Name

MELLEKATE S VISHWAS MD

Original Issue Date

04/26/2017

Effective Date

07/02/2020

Expiration Date

07/31/2023

City

TERRE HAUTE

State

Zip

47804

Ever Disciplined

LastModifiedDate

11/30/2023