The holder whose full name is IYYALASOMAYAZULA, VENKATARAO,come from BOSSIER CITY LA,hold the Physician license(NO.01039077A) which status is Expired Non-Renewable.
| Name | IYYALASOMAYAZULA, VENKATARAO |
|---|---|
| License Number | 01039077A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | BOSSIER CITY |
| State | LA |