RAVILLA LAKSHMIPATHY MAHIDHAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117710

License Status

NOT RENEWED

Business

First Name

RAVILLA

Middle

LAKSHMIPATHY

Last Name

MAHIDHAR

Suffix

Business Name

RAVILLA LAKSHMIPATHY MAHIDHAR MD

Original Issue Date

02/27/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NEW YORK

State

Zip

10128

Ever Disciplined

LastModifiedDate

11/14/2011