GLENN IMMANUEL KOLLURI MD - Medical Doctor License in Florida | # 036138286

GLENN IMMANUEL KOLLURI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138286

License Status

NOT RENEWED

Business

N

Title

MD

First Name

GLENN

Middle

IMMANUEL

Last Name

KOLLURI

Business Name

GLENN IMMANUEL KOLLURI MD

Original Issue Date

06/15/2015

Effective Date

06/15/2015

Expiration Date

07/31/2017

State

FL

Ever Disciplined

N

LastModifiedDate

11/01/2017