TASNEEM A POONAWALLA MD - Medical Doctor License in Wisconsin | # 036133788

TASNEEM A POONAWALLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133788

License Status

NOT RENEWED

Business

N

Title

MD

First Name

TASNEEM

Middle

A

Last Name

POONAWALLA

Business Name

TASNEEM A POONAWALLA MD

Original Issue Date

08/15/2013

Effective Date

07/14/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017