BALA V MANYAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069001

License Status

INACTIVE

Business

First Name

BALA V

Last Name

MANYAM

Suffix

Business Name

BALA V MANYAM MD

Original Issue Date

07/12/1984

Effective Date

07/12/1984

Expiration Date

07/31/1999

City

TEMPLE

State

Zip

76508

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006