License holder summary

BALA V MANYAM is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for BALA V MANYAM is SPRINGFIELD IL 62794-9230. This medical practitioner license is not current. The license was granted 09/19/1975 and expired on 12/31/1988.

Department of State

Board of Medicine

BALA V MANYAM
Medical Physician And Surgeon
License number
MD017241Y
Date granted
09/19/1975
Date expires
12/31/1988
Class
Medical Physician And Surgeon
Status
Inactive
Address
SPRINGFIELD IL 62794-9230
medicinepa.com
ID 37641782
LAST UPDATED 2024-03-29 23:55:28 UTC

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