License holder summary

KROTHAPALLI, SIVA MOHAN is a Medical - Resident Physician licensed to practice in Georgia. The address on file for KROTHAPALLI, SIVA MOHAN is 494 BRIGHAM TRAIL, Augusta 30909. This doctor license is not current. The license was granted 05/22/2009 and expired on 06/30/2012.

Georgia

Composite Medical Board

KROTHAPALLI, SIVA MOHAN
Medical - Resident Physician
License number
003641
Date granted
05/22/2009
Date expires
06/30/2012
Class
Medical - Resident Physician
Status
Lapsed
Address
494 BRIGHAM TRAIL
georgiadoctors.net
ID 38117726
LAST UPDATED 2024-04-04 00:47:01 UTC

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