ANAND VENKAT MANTRAVADI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119971

License Status

NOT RENEWED

Business

First Name

ANAND

Middle

VENKAT

Last Name

MANTRAVADI

Suffix

Business Name

ANAND VENKAT MANTRAVADI MD

Original Issue Date

01/16/2008

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

PHILADELPHIA

State

Zip

19107

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/14/2011