R GANGADHARA MD - Medical Doctor License in Indiana | # 036051635

R GANGADHARA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051635

License Status

NOT RENEWED

Business

N

First Name

R

Last Name

GANGADHARA

Suffix

MD

Business Name

R GANGADHARA MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

State

IN

Ever Disciplined

N

LastModifiedDate

09/20/2006