PRASADA RAO BOPPANA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057267

License Status

INACTIVE

Business

First Name

PRASADA RAO

Last Name

BOPPANA

Suffix

Business Name

PRASADA RAO BOPPANA MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1987

City

WHITMAN

State

Zip

25652

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006