License holder summary

URMUNDAL, MALLIK BASAVANNA, MD is a Medical - Physician licensed to practice in Georgia. The address on file for URMUNDAL, MALLIK BASAVANNA, MD is 4415 US HWY 331 S STE A, DEFUNIAK SPRIN 32435. This doctor license is not current. The license was granted 10/08/1999 and expired on 09/30/2011.

Georgia

Composite Medical Board

URMUNDAL, MALLIK BASAVANNA, MD
Medical - Physician
License number
048094
Date granted
10/08/1999
Date expires
09/30/2011
Class
Medical - Physician
Status
Surrendered
Address
4415 US HWY 331 S STE A
georgiadoctors.net
ID 38088782
LAST UPDATED 2024-01-29 14:05:55 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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