SRIVIDYA NUKALA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102856

License Status

INACTIVE

Business

First Name

SRIVIDYA

Last Name

NUKALA

Business Name

SRIVIDYA NUKALA

Original Issue Date

06/27/2000

Effective Date

06/27/2000

Expiration Date

07/31/2005

City

MARQUETTE

State

Zip

49855

Ever Disciplined

LastModifiedDate

04/27/2007