PUSHPA KRISHNASAMI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109600

License Status

INACTIVE

Business

First Name

PUSHPA

Last Name

KRISHNASAMI

Suffix

Business Name

PUSHPA KRISHNASAMI MD

Original Issue Date

06/30/2003

Effective Date

05/20/2011

Expiration Date

07/31/2014

City

FREMONT

State

Zip

94539

Ever Disciplined

LastModifiedDate

06/28/2014