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Malleeswari
Malleeswari
Nellore
Medical doctor
Columbia, United States
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Florida Health Care Practitioner Data Portal
Full name
Malleeswari Nellore
Job Title
Medical Doctor
Location
Columbia, MD, USA
LIC ID
162039
Current License Expiration Date
31/01/2025
Original Date
27/10/2022
Professional Rank Code
ME
Effective Date
27/10/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
11608 Brockman Ln
Practice Location Address City
GREAT FALLS
Practice Location Address State
VA
Practice Location Address Zipcode
22066
Prescribing Indicator
N
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