NALINI KANDALLU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003428

License Status

NOT RENEWED

Business

First Name

NALINI

Last Name

KANDALLU

Business Name

NALINI KANDALLU

Original Issue Date

02/04/2009

Effective Date

02/04/2009

Expiration Date

03/01/2010

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

04/01/2010