License holder summary

Dr. CHRISTOPHER THOMAS MALLAVARAPU is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. CHRISTOPHER THOMAS MALLAVARAPU is 5000 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508. This licensed professional license is not current. The license was granted 02/06/2012 and expired on 08/01/2014.

Idaho

Division of Occupational and Professional Licenses

Dr. CHRISTOPHER THOMAS MALLAVARAPU
Board Of Medicine
License number
M-11567
Date granted
02/06/2012
Date expires
08/01/2014
Class
Board Of Medicine
Status
Canceled
Address
5000 AMBASSADOR CAFFERY PKWY LAFAYETTE LA 70508
idaholicensing.com
ID 48337100
LAST UPDATED 2024-04-20 03:25:12 UTC

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