BABU R PRASAD DANDAMUDI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054421

License Status

INACTIVE

Business

First Name

BABU R PRASAD

Last Name

DANDAMUDI

Business Name

BABU R PRASAD DANDAMUDI

Original Issue Date

04/14/1977

Effective Date

06/22/2017

Expiration Date

09/30/2020

City

ST LOUIS

State

Zip

63128

Ever Disciplined

LastModifiedDate

04/05/2020