CHRISTOPHER T MALLAVARAPU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER T

Last Name

MALLAVARAPU

Suffix

Business Name

CHRISTOPHER T MALLAVARAPU MD

Original Issue Date

04/13/1995

Effective Date

04/13/1995

Expiration Date

07/31/2005

City

ASHLAND

State

Zip

41101

County

KENTUCKY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006