SRIDEVI KORITALA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099079

License Status

INACTIVE

Business

First Name

SRIDEVI

Last Name

KORITALA

Suffix

Business Name

SRIDEVI KORITALA MD

Original Issue Date

09/22/1998

Effective Date

09/22/1998

Expiration Date

07/31/2005

City

RACINE

State

Zip

53402

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006