KISHORE MAGANTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047710

License Status

EXPIRED

Business

First Name

KISHORE

Last Name

MAGANTY

Suffix

Business Name

KISHORE MAGANTY MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2007

City

SAINT LOUIS

State

Zip

63141

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007