SHILPA PUPPALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113036

License Status

NOT RENEWED

Business

First Name

SHILPA

Last Name

PUPPALA

Business Name

SHILPA PUPPALA

Original Issue Date

02/04/2005

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

MILLBRAE

State

Zip

94030

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017