S MURTHY TADAVARTHY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113360

License Status

INACTIVE

Business

First Name

Middle

MURTHY

Last Name

TADAVARTHY

Suffix

Business Name

S MURTHY TADAVARTHY MD

Original Issue Date

03/29/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EDEN PRAIRIE

State

Zip

55347

Ever Disciplined

LastModifiedDate

05/28/2008