JAY R PUDUPAKKAM MD - Medical Doctor License in Ohio | # 036093411

JAY R PUDUPAKKAM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093411

License Status

NOT RENEWED

Business

N

First Name

JAY R

Last Name

PUDUPAKKAM

Suffix

MD

Business Name

JAY R PUDUPAKKAM MD

Original Issue Date

07/10/1996

Effective Date

07/10/1996

Expiration Date

07/31/1999

State

OH

Ever Disciplined

N

LastModifiedDate

09/20/2006