MRUDULA B DESAI MD - Medical Doctor License in Indiana | # 33*****75

MRUDULA B DESAI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

N

First Name

MRUDULA B

Last Name

DESAI

Suffix

MD

Business Name

MRUDULA B DESAI MD

Original Issue Date

02/07/1986

Effective Date

02/07/1986

Expiration Date

07/31/1993

State

IN

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

09/26/2006