VIJAYA NIRMALA POLAVARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162009

License Status

NOT RENEWED

Business

Title

First Name

VIJAYA

Middle

NIRMALA

Last Name

POLAVARAM

Business Name

VIJAYA NIRMALA POLAVARAM MD

Original Issue Date

08/16/2022

Effective Date

08/16/2022

Expiration Date

07/31/2023

City

CARY

State

Zip

27518

Ever Disciplined

LastModifiedDate

11/30/2023