VIJAY VENKATA ADIMOOLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163943

License Status

ACTIVE

Business

Title

First Name

VIJAY

Middle

VENKATA

Last Name

ADIMOOLAM

Business Name

VIJAY VENKATA ADIMOOLAM MD

Original Issue Date

03/14/2023

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

CLARKSVILLE

State

Zip

21029

Ever Disciplined

LastModifiedDate

07/14/2023