MANORAMA MOHAPATRA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054315

License Status

INACTIVE

Business

First Name

MANORAMA

Last Name

MOHAPATRA

Business Name

MANORAMA MOHAPATRA

Original Issue Date

03/14/1977

Effective Date

03/14/1977

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006