INDIRA DEVI MUTYALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055464

License Status

INACTIVE

Business

First Name

INDIRA DEVI

Last Name

MUTYALA

Suffix

Business Name

INDIRA DEVI MUTYALA MD

Original Issue Date

08/11/1977

Effective Date

08/11/1977

Expiration Date

07/31/1990

City

TEMPLE

State

Zip

76502

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006