MALLIKARJUNA REDDY MUKKA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140965

License Status

NOT RENEWED

Business

Title

First Name

MALLIKARJUNA

Middle

REDDY

Last Name

MUKKA

Business Name

MALLIKARJUNA REDDY MUKKA MD

Original Issue Date

06/17/2016

Effective Date

07/23/2020

Expiration Date

07/31/2023

City

FORT WORTH

State

Zip

76132

Ever Disciplined

LastModifiedDate

11/30/2023