SUDARSAN CHAVALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057600

License Status

NOT RENEWED

Business

First Name

SUDARSAN

Last Name

CHAVALA

Suffix

Business Name

SUDARSAN CHAVALA MD

Original Issue Date

09/15/1978

Effective Date

09/15/1978

Expiration Date

07/31/2002

City

MARYVILLE

State

Zip

64468

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006