SRIVIDYA NUKALA - Medical Doctor License in Michigan | # 036102856

SRIVIDYA NUKALA

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102856

License Status

INACTIVE

Business

N

First Name

SRIVIDYA

Last Name

NUKALA

Business Name

SRIVIDYA NUKALA

Original Issue Date

06/27/2000

Effective Date

06/27/2000

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

04/27/2007