CHANNAGATTA R TRIYAMBAKARAJ MD - Medical Doctor License in Michigan | # 036051952

CHANNAGATTA R TRIYAMBAKARAJ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051952

License Status

NOT RENEWED

Business

N

First Name

CHANNAGATTA R

Last Name

TRIYAMBAKARAJ

Suffix

MD

Business Name

CHANNAGATTA R TRIYAMBAKARAJ MD

Original Issue Date

09/12/1975

Effective Date

09/12/1975

State

MI

Ever Disciplined

N

LastModifiedDate

09/20/2006