JAYANTHI SUPPIAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106498

License Status

INACTIVE

Business

First Name

JAYANTHI

Last Name

SUPPIAH

Suffix

Business Name

JAYANTHI SUPPIAH MD

Original Issue Date

03/14/2002

Effective Date

07/27/2011

Expiration Date

07/31/2014

City

PHOENIX

State

Zip

85050

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/08/2014