NARENDER R GORUKANTI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107159

License Status

INACTIVE

Business

First Name

NARENDER R

Last Name

GORUKANTI

Business Name

NARENDER R GORUKANTI

Original Issue Date

06/10/2002

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

FORT SMITH

State

Zip

72908

County

ARKANSAS

Ever Disciplined

LastModifiedDate

04/05/2020