BABU RAO JASTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104060

License Status

NOT RENEWED

Business

First Name

BABU

Middle

RAO

Last Name

JASTI

Suffix

Business Name

BABU RAO JASTI MD

Original Issue Date

01/23/2001

Effective Date

01/23/2001

Expiration Date

07/31/2005

City

PHILADELPHIA

State

Zip

19107

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006