MRIDULA RAVINUTU PRASAD MD - Medical Doctor License in Indiana | # 036058523

MRIDULA RAVINUTU PRASAD MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058523

License Status

NOT RENEWED

Business

N

First Name

MRIDULA RAVINUTU

Last Name

PRASAD

Suffix

MD

Business Name

MRIDULA RAVINUTU PRASAD MD

Original Issue Date

03/22/1979

Effective Date

03/22/1979

Expiration Date

07/31/1987

State

IN

Ever Disciplined

N

LastModifiedDate

07/10/2014