SHYAM VADLAPATLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135669

License Status

INACTIVE

Business

Title

First Name

SHYAM

Last Name

VADLAPATLA

Business Name

SHYAM VADLAPATLA MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

EDGEWATER

State

Zip

07020

Ever Disciplined

LastModifiedDate

06/02/2017