SUSMITHA PUPPALA MD - Medical Doctor License in Georgia | # 125050004

SUSMITHA PUPPALA MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050004

License Status

EXPIRED

Business

N

First Name

SUSMITHA

Last Name

PUPPALA

Suffix

MD

Business Name

SUSMITHA PUPPALA MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

State

GA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

07/31/2008