RAJIV DIVAKARAN PODUVAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102381

License Status

INACTIVE

Business

First Name

RAJIV

Middle

DIVAKARAN

Last Name

PODUVAL

Suffix

Business Name

RAJIV DIVAKARAN PODUVAL MD

Original Issue Date

04/28/2000

Effective Date

04/28/2000

Expiration Date

07/31/2005

City

TEMPE

State

Zip

85284

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006