SHAILAJA PULISETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119615

License Status

NOT RENEWED

Business

First Name

SHAILAJA

Last Name

PULISETTY

Suffix

Business Name

SHAILAJA PULISETTY MD

Original Issue Date

10/30/2007

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

ST LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023