SUJATA PRAMOD PRABHU MD - Medical Doctor License in Kentucky | # 036131536

SUJATA PRAMOD PRABHU MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131536

License Status

INACTIVE

Business

N

Title

MD

First Name

SUJATA

Middle

PRAMOD

Last Name

PRABHU

Business Name

SUJATA PRAMOD PRABHU MD

Original Issue Date

10/03/2012

Effective Date

10/03/2012

Expiration Date

07/31/2014

State

KY

Ever Disciplined

N

LastModifiedDate

04/08/2014