USHA R MUTHYALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138373

License Status

NOT RENEWED

Business

Title

First Name

USHA

Middle

Last Name

MUTHYALA

Business Name

USHA R MUTHYALA MD

Original Issue Date

06/18/2015

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

OLIVETTE

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023