Kishore Raju Tara Patsamatla
Physician
Indiana 01054179A Expired Non-Renewable
This Indiana license was held by Kishore Raju Tara Patsamatla. The license is no longer active. It was granted on 05/17/2001 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01054179A
- Category: Physician
- Status: Expired Non-Renewable
- Date Granted: 05/17/2001 (about 24 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Atlanta GA 30313