Patsamatla, Kishore Raju Tara

Medicine And Surgery

Wisconsin  45057-20   Expired

This Wisconsin license was held by Patsamatla, Kishore Raju Tara. The license is no longer active. It was granted on 10/16/2002 and expired on 10/31/2007

LICENSE DETAILS

  • License Number: 45057-20
  • Category: Medicine And Surgery
  • Status: Expired
  • Date Granted: 10/16/2002 (almost 24 years ago)
  • Expiry Date: 10/31/2007 (over 18 years ago)