Thakshakamani Madamala
ExpiredCalifornia license A39390
License
- Licensed by
- Medical Board of California
- License number
- A39390
- Status
- Expired (Delinquent)
- First issued
- December 6, 1982
- Expired
- June 30, 2022
- License holder
- Thakshakamani Madamala
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2803 Federal Ct
Crystal Lake, IL 60012-1051
Crystal Lake, IL 60012-1051
Mc Henry County