YASODA MODALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

YASODA

Last Name

MODALI

Suffix

Business Name

YASODA MODALI MD

Original Issue Date

01/01/1997

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

RICHMOND

State

Zip

77407

County

TEXAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021