SHANTHA KESAVULU Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059297

License Status

INACTIVE

Business

First Name

SHANTHA

Last Name

KESAVULU

Business Name

SHANTHA KESAVULU

Original Issue Date

08/27/1979

Effective Date

08/27/1979

Expiration Date

07/31/1999

City

SAN ANTONIO

State

Zip

78222

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006