HIMABINDU GANDAM VENKATA MD - Medical Doctor License in Michigan | # 036149490

HIMABINDU GANDAM VENKATA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149490

License Status

NOT RENEWED

Business

N

Title

MD

First Name

HIMABINDU

Last Name

GANDAM VENKATA

Business Name

HIMABINDU GANDAM VENKATA MD

Original Issue Date

05/30/2019

Effective Date

09/17/2020

Expiration Date

07/31/2023

State

MI

Ever Disciplined

N

LastModifiedDate

11/30/2023