SREENIVAS MANNAM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091763

License Status

INACTIVE

Business

First Name

SREENIVAS

Last Name

MANNAM

Business Name

SREENIVAS MANNAM

Original Issue Date

09/01/1995

Effective Date

09/01/1995

Expiration Date

07/31/1999

City

LEXINGTON PARK

State

Zip

20653

County

MARYLAND

Ever Disciplined

LastModifiedDate

09/20/2006