DEEPIKA REDDY NALLALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127090

License Status

NOT RENEWED

Business

Title

First Name

DEEPIKA

Middle

REDDY

Last Name

NALLALA

Business Name

DEEPIKA REDDY NALLALA MD

Original Issue Date

01/14/2011

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

JOHNSON CITY

State

Zip

37604

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/01/2017