SHANTHI GOPAL MD - Medical Doctor License in Michigan | # 036109948

SHANTHI GOPAL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109948

License Status

NOT RENEWED

Business

N

First Name

SHANTHI

Last Name

GOPAL

Suffix

MD

Business Name

SHANTHI GOPAL MD

Original Issue Date

08/18/2003

Effective Date

08/18/2003

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

10/09/2006