License Directory

Chandramouli Srinivasa Mandalaparty

Active

Michigan license 5101025787

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101025787
Status
Active
First issued
June 11, 2020
Expires
June 11, 2029
License holder
Chandramouli Srinivasa Mandalaparty
Entity type
Individual

Classifications

Contact

Mymichigan Health
4000 Wellness Dr
Midland, MI 48670
Midland County