AMOD OM SUREKA MD - Medical Doctor License in Georgia | # 036107639

AMOD OM SUREKA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107639

License Status

NOT RENEWED

Business

N

First Name

AMOD

Middle

OM

Last Name

SUREKA

Suffix

MD

Business Name

AMOD OM SUREKA MD

Original Issue Date

08/07/2002

Effective Date

05/18/2020

Expiration Date

07/31/2023

State

GA

Ever Disciplined

N

LastModifiedDate

11/30/2023