VALLISITARAM PRA KODALI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082994

License Status

INACTIVE

Business

First Name

VALLISITARAM PRA

Last Name

KODALI

Suffix

Business Name

VALLISITARAM PRA KODALI MD

Original Issue Date

07/17/1991

Effective Date

07/17/1991

Expiration Date

07/31/1993

City

DURHAM

State

Zip

27713

Ever Disciplined

LastModifiedDate

08/08/2012