AMITHA MADHURI AVASARALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164758

License Status

ACTIVE

Business

Title

First Name

AMITHA

Middle

MADHURI

Last Name

AVASARALA

Business Name

AMITHA MADHURI AVASARALA MD

Original Issue Date

05/19/2023

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CLEVELAND

State

Zip

44115

Ever Disciplined

LastModifiedDate

06/06/2023