The holder whose full name is ANNABATHULA, JAGAN MOHAN,come from LOUISVILLE KY,hold the Physician license(NO.01046635A) which status is Expired Non-Renewable.
| Name | ANNABATHULA, JAGAN MOHAN |
|---|---|
| License Number | 01046635A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | LOUISVILLE |
| State | KY |