VENKATESAN R GORANTLA MD - Medical Doctor License in Ohio | # 036083427

VENKATESAN R GORANTLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083427

License Status

NOT RENEWED

Business

N

First Name

VENKATESAN R

Last Name

GORANTLA

Suffix

MD

Business Name

VENKATESAN R GORANTLA MD

Original Issue Date

09/10/1991

Effective Date

09/10/1991

Expiration Date

07/31/2005

State

OH

Ever Disciplined

N

LastModifiedDate

04/29/2012