SUNDARA C NALLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095462

License Status

INACTIVE

Business

First Name

SUNDARA C

Last Name

NALLA

Suffix

Business Name

SUNDARA C NALLA MD

Original Issue Date

05/19/1997

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

SIOUX FALLS

State

Zip

57105

Ever Disciplined

LastModifiedDate

04/08/2014