SADASIVAM MODALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056768

License Status

NOT RENEWED

Business

First Name

SADASIVAM

Last Name

MODALI

Suffix

Business Name

SADASIVAM MODALI MD

Original Issue Date

05/19/1978

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

RICHMOND

State

Zip

77407

County

TEXAS

Ever Disciplined

LastModifiedDate

11/01/2017