ASHOK R MALLYA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063619

License Status

INACTIVE

Business

First Name

ASHOK R

Last Name

MALLYA

Suffix

Business Name

ASHOK R MALLYA MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1999

City

CRESTWOOD

State

Zip

63126

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/05/2006