SUDHAKAR VENKATA MALLELA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093779

License Status

INACTIVE

Business

First Name

SUDHAKAR VENKATA

Last Name

MALLELA

Business Name

SUDHAKAR VENKATA MALLELA

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/1999

City

SECANE

State

Zip

19018

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

03/27/2014