VISHNUTEJA VENKATA DEVALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174765

License Status

ACTIVE

Business

Title

First Name

VISHNUTEJA

Middle

VENKATA

Last Name

DEVALLA

Business Name

VISHNUTEJA VENKATA DEVALLA MD

Original Issue Date

04/25/2025

Effective Date

04/25/2025

Expiration Date

07/31/2026

City

DULUTH

State

Zip

55803

Ever Disciplined

LastModifiedDate

04/25/2025