The holder whose full name is CHALLAPALLI, MALLISWARI,come from DYER IN,hold the Physician license(NO.01036661A) which status is Expired Non-Renewable.
| Name | CHALLAPALLI, MALLISWARI |
|---|---|
| License Number | 01036661A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | DYER |
| State | IN |