PRASANTHI TUMMURU MD - Medical Doctor License in Arizona | # 036122299

PRASANTHI TUMMURU MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122299

License Status

INACTIVE

Business

N

Title

MD

First Name

PRASANTHI

Last Name

TUMMURU

Business Name

PRASANTHI TUMMURU MD

Original Issue Date

12/08/2008

Effective Date

08/01/2017

Expiration Date

09/30/2020

State

AZ

Ever Disciplined

N

LastModifiedDate

04/05/2020