RAGHAVENDER BOOTHPUR MD - Medical Doctor License in Missouri | # 036114800

RAGHAVENDER BOOTHPUR MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114800

License Status

INACTIVE

Business

N

First Name

RAGHAVENDER

Last Name

BOOTHPUR

Suffix

MD

Business Name

RAGHAVENDER BOOTHPUR MD

Original Issue Date

10/25/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

06/09/2011