SUNITHA MALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146806

License Status

NOT RENEWED

Business

Title

First Name

SUNITHA

Last Name

MALLA

Business Name

SUNITHA MALLA MD

Original Issue Date

07/06/2018

Effective Date

07/06/2018

Expiration Date

09/30/2020

City

SOUTHLAKE

State

Zip

76092

County

TEXAS

Ever Disciplined

LastModifiedDate

01/14/2021