JAGANNADHA RAO AVASARALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136475

License Status

INACTIVE

Business

Title

First Name

JAGANNADHA

Middle

RAO

Last Name

AVASARALA

Business Name

JAGANNADHA RAO AVASARALA MD

Original Issue Date

09/15/2014

Effective Date

09/15/2014

Expiration Date

07/31/2017

City

SIMPSONVILLE

State

Zip

29681

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

04/12/2017