ROMAN ALEKSANDROVICH PULIAEV MD - Medical Doctor License in Indiana | # 036127884

ROMAN ALEKSANDROVICH PULIAEV MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127884

License Status

NOT RENEWED

Business

N

First Name

ROMAN

Middle

ALEKSANDROVICH

Last Name

PULIAEV

Suffix

MD

Business Name

ROMAN ALEKSANDROVICH PULIAEV MD

Original Issue Date

05/18/2011

Effective Date

05/18/2011

Expiration Date

07/31/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014