JAYANTHI SUPPIAH MD - Medical Doctor License in Arizona | # 036106498

JAYANTHI SUPPIAH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106498

License Status

INACTIVE

Business

N

First Name

JAYANTHI

Last Name

SUPPIAH

Suffix

MD

Business Name

JAYANTHI SUPPIAH MD

Original Issue Date

03/14/2002

Effective Date

07/27/2011

Expiration Date

07/31/2014

State

AZ

Ever Disciplined

N

LastModifiedDate

04/08/2014