ROJA RANI MULAMALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

Title

First Name

ROJA

Middle

RANI

Last Name

MULAMALLA

Business Name

ROJA RANI MULAMALLA MD

Original Issue Date

05/18/2016

Effective Date

05/18/2016

Expiration Date

07/31/2017

City

SALT LAKE CITY

State

Zip

84108

County

UTAH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017