BALAMURALI K AMBATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119423

License Status

NOT RENEWED

Business

First Name

BALAMURALI

Middle

Last Name

AMBATI

Suffix

Business Name

BALAMURALI K AMBATI MD

Original Issue Date

09/19/2007

Effective Date

09/19/2007

Expiration Date

07/31/2008

City

SANDY

State

Zip

84096

County

UTAH

Ever Disciplined

LastModifiedDate

11/06/2008