TALLURI BALAJI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054701

License Status

INACTIVE

Business

First Name

TALLURI

Last Name

BALAJI

Suffix

Business Name

TALLURI BALAJI MD

Original Issue Date

06/09/1977

Effective Date

06/09/1977

Expiration Date

07/31/1987

City

MOUNT AIRY

State

Zip

27030

Ever Disciplined

LastModifiedDate

11/03/2011