BHASKAR CHANDU KOLLA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121665

License Status

INACTIVE

Business

First Name

BHASKAR

Middle

CHANDU

Last Name

KOLLA

Suffix

Business Name

BHASKAR CHANDU KOLLA MD

Original Issue Date

08/06/2008

Effective Date

08/06/2008

Expiration Date

07/31/2011

City

EAU CLAIRE

State

Zip

54701

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/07/2011