SUSEELA SAMUDRALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061105

License Status

INACTIVE

Business

First Name

SUSEELA

Last Name

SAMUDRALA

Suffix

Business Name

SUSEELA SAMUDRALA MD

Original Issue Date

10/20/1980

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

ST LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/07/2011