MANTENA S RAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056775

License Status

NOT RENEWED

Business

First Name

MANTENA S

Last Name

RAJU

Suffix

Business Name

MANTENA S RAJU MD

Original Issue Date

05/19/1978

Effective Date

05/19/1978

Expiration Date

07/01/1982

City

TAYLOR

State

Zip

48180

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006