YASODA MODALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056736

License Status

NOT RENEWED

Business

First Name

YASODA

Last Name

MODALI

Suffix

Business Name

YASODA MODALI MD

Original Issue Date

05/19/1978

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

RICHMOND

State

Zip

77407

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021