GAYATHRI N MANICKAM MD - Medical Doctor License in Michigan | # 036124126

GAYATHRI N MANICKAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124126

License Status

NOT RENEWED

Business

N

Title

MD

First Name

GAYATHRI

Middle

N

Last Name

MANICKAM

Business Name

GAYATHRI N MANICKAM MD

Original Issue Date

07/29/2009

Effective Date

07/29/2009

Expiration Date

07/31/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/14/2011