License Directory

Sailaja Mukkamalla Reddy

Expired

California license 28113

License

Licensed by
California Physician Assistant Board
License number
28113
Status
Expired (Delinquent)
First issued
December 10, 1997
Expired
June 30, 2001
License holder
Sailaja Mukkamalla Reddy
Entity type
Individual

Classifications

More from the license record

License type code
9503

Other California licenses under this name

Contact

18538 Casandra Avenue
Cerritos, CA 90703
Los Angeles County