MALLIKARJUN PATTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096890

License Status

NOT RENEWED

Business

First Name

MALLIKARJUN

Last Name

PATTA

Suffix

Business Name

MALLIKARJUN PATTA MD

Original Issue Date

10/23/1997

Effective Date

10/23/1997

Expiration Date

07/31/2005

City

WARRENSBURG

State

Zip

64093

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006