RAJU AMAREGOUDA PATIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121462

License Status

NOT RENEWED

Business

First Name

RAJU

Middle

AMAREGOUDA

Last Name

PATIL

Suffix

Business Name

RAJU AMAREGOUDA PATIL MD

Original Issue Date

07/11/2008

Effective Date

07/11/2008

Expiration Date

07/31/2011

City

CONWAY

State

Zip

72034

County

ARKANSAS

Ever Disciplined

LastModifiedDate

11/14/2011