SIRESHA K SAMUDRALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108305

License Status

NOT RENEWED

Business

First Name

SIRESHA

Middle

Last Name

SAMUDRALA

Suffix

Business Name

SIRESHA K SAMUDRALA MD

Original Issue Date

12/16/2002

Effective Date

07/21/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63136

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014