BHRAMARAPURNA VANI KODALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097593

License Status

NOT RENEWED

Business

First Name

BHRAMARAPURNA

Middle

VANI

Last Name

KODALI

Suffix

Business Name

BHRAMARAPURNA VANI KODALI MD

Original Issue Date

04/03/1998

Effective Date

04/03/1998

Expiration Date

07/31/2002

City

DE PERE

State

Zip

54115

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006